FRED C. BOBOTH O.D., P.S. (NPI# 1003017476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003017476 |
| Entity Type | Organization |
| Organization Name | FRED C. BOBOTH O.D., P.S. |
| Other Organization Name | BOBOTH VISION CLINIC |
| Practice Address |
403 N Euclid St Grandview WA 98930 |
| Mailing Address |
403 N Euclid St Grandview WA 98930-9407 |
| Practice Telephone | 5098822650 |
| Practice Fax Number | 5098824225 |
| Mailing Telephone | 5098822650 |
| Mailing Fax Number | 5098824225 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-06-14 |
| Authorized Official Name | DR. FRED C BOBOTH (OPTOMETRIC PHYSICIAN) |
| Authorized Official Telephone | 5098822650 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1634TX | WA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Boboth Vision Clinic | Doing Business As Name - Organization |
| Street Address |
403 N EUCLID ST |
| City | GRANDVIEW |
| State | WA |
| Zip Code | 98930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851296 | Edgar Candido | Chiropractor | 403 N Euclid St, Grandview, WA 98930-9407 | 2020-01-28 |
| 1699256008 | Boboth Vision Clinic Wa, Pllc | Optometrist | 403 N Euclid St, Grandview, WA 98930-9407 | 2018-08-23 |
| 1790048163 | Everett Boboth | Optometrist | 403 N Euclid St, Grandview, WA 98930-9407 | 2012-06-20 |
| 1598040644 | Cole Boboth | Optometrist | 403 N Euclid St, Grandview, WA 98930-9407 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639391253 | R. Scott Williams, D.d.s., P.s. | Dentist | 201 Euclid Street, Grandview, WA 98930 | 2007-05-03 |
| 1235224684 | Grandview School District | Local Education Agency (LEA) | 913 W 2nd Street, Grandview, WA 98930 | 2006-10-03 |
| 1063527661 | Jonathan F Volz Dds Pllc | Dentist | 310 E 2nd St, Grandview, WA 98930 | 2006-08-21 |
| 1790347623 | Rebecca Warnick | Registered Nurse | 1003 Wallace Way, Grandview, WA 98930 | 2019-07-01 |
| 1376026237 | Prosser Public Hospital District of Benton County | Clinic/Center | 1003 Wallace Way, Grandview, WA 98930 | 2018-09-07 |
| 1114414216 | Laboratory Corporation of America | Clinical Medical Laboratory | 240 Division St, Grandview, WA 98930 | 2018-04-16 |
| 1588151773 | Laboratory Corporation of America | Clinical Medical Laboratory | 1000 Wallace Way, Grandview, WA 98930 | 2018-04-13 |
| 1730686544 | Cindy Sun | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930 | 2018-04-09 |
| 1043711252 | Ruby Medina | Social Worker | 208 N. Euclid, Grandview, WA 98930 | 2018-02-22 |
| 1982085858 | Tad White | Family Medicine | 1000 Wallace Way, Grandview, WA 98930 | 2015-06-16 |
| Find all providers in zip 98930 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194879700 | Fred C Boboth | Optometrist | 403 N Euclid Rd, Grandview, WA 98930-9407 | 2007-01-22 |
| 1548202138 | Christa Dawn Dawson | Optometrist | 1024 Main St, Grandview, MO 64030-2456 | 2006-06-11 |
| 1699256008 | Boboth Vision Clinic Wa, Pllc | Optometrist | 403 N Euclid St, Grandview, WA 98930-9407 | 2018-08-23 |
| 1790048163 | Everett Boboth | Optometrist | 403 N Euclid St, Grandview, WA 98930-9407 | 2012-06-20 |
| 1598040644 | Cole Boboth | Optometrist | 403 N Euclid St, Grandview, WA 98930-9407 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544101 | Destiny Nicole Mccoy | Optometrist | 19400 108th Ave Se Ste 202, Kent, WA 98031-0108 | 2020-09-25 |
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1962011320 | Kristine Marie Hackett | Optometrist | 19301 Se 34th St Ste 104, Camas, WA 98607-8881 | 2020-07-30 |
| 1245857044 | Minha Lee | Optometrist | 1468 158th Pl Ne, Bellevue, WA 98008-2782 | 2020-06-29 |
| 1437774734 | Vision Plus of Barkley Pllc | Optometrist | 2900 Woburn St Ste 101, Bellingham, WA 98226-3865 | 2020-06-11 |
| 1558985671 | Tiffany Lundberg | Optometrist | 2010 W Lincoln Ave Ste 1, Yakima, WA 98902-2413 | 2020-06-04 |
| 1801423041 | Jayeon Vision | Optometrist | 13909 Meridian E Ste A3, Puyallup, WA 98373-9180 | 2020-03-26 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1942832845 | Trinity Vision Pllc | Optometrist | 4750 N Division St Ste 282, Spokane, WA 99207-1433 | 2020-02-07 |
| 1104464536 | Washington Eyes, LLC | Optometrist | 5011 W Lowell Ave Ste 120, Spokane, WA 99208-8587 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.