Fred Boboth (NPI# 1194879700, PAC ID# 5597973941) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1194879700 |
| PAC ID by PECOS | 5597973941 |
| Professional Enrollment ID | I20110914000109 |
| Full Name | Fred Boboth |
| Organization Legal Name | BOBOTH VISION CLINIC WA PLLC |
| Address |
403 N Euclid St Grandview WA 98930-9407 |
| Phone Number | 5098822650 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1988 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7517207756 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 403 N Euclid St, Grandview, WA 98930-9407 | 5098822650 | BOBOTH VISION CLINIC WA PLLC |
| Organization Legal Name | BOBOTH VISION CLINIC WA PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cole V Boboth | Optometry | Boboth Vision Clinic Wa Pllc | 403 N Euclid St, Grandview, WA 98930-9407 |
| Everett C Boboth | Optometry | Boboth Vision Clinic Wa Pllc | 403 N Euclid St, Grandview, WA 98930-9407 |
| Street Address |
403 N EUCLID ST |
| City | GRANDVIEW |
| State | WA |
| Zip | 98930-9407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cole V Boboth | Optometry | Boboth Vision Clinic Wa Pllc | 403 N Euclid St, Grandview, WA 98930-9407 |
| Everett C Boboth | Optometry | Boboth Vision Clinic Wa Pllc | 403 N Euclid St, Grandview, WA 98930-9407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy J Anderson | Chiropractic | 211 Euclid St, Grandview, WA 98930-1160 | |
| Troy N Thomas | Physical Therapy | Columbia Physical Therapy Inc Ps | 214 Ash St, Grandview, WA 98930-1319 |
| Frank N Charlton | Physical Therapy | Columbia Physical Therapy Inc Ps | 214 Ash St, Grandview, WA 98930-1319 |
| Bret L Maiers | Physical Therapy | Columbia Physical Therapy Inc Ps | 214 Ash St, Grandview, WA 98930-1319 |
| David A Bullock | Physical Therapy | Columbia Physical Therapy Inc Ps | 214 Ash St, Grandview, WA 98930-1319 |
| Deborah Titus | Nurse Practitioner | Sunnyside Community Hospital Association | 222 E 2nd St, Grandview, WA 98930-1342 |
| Manuel Jimenez | Physician Assistant | Sunnyside Community Hospital Association | 222 E 2nd St, Grandview, WA 98930-1342 |
| Jessica E Bury | Obstetrics/gynecology | Sunnyside Community Hospital Association | 222 E 2nd St, Grandview, WA 98930-1342 |
| Juan R Camacho | Chiropractic | 105 E 2nd St, Grandview, WA 98930-1345 | |
| Joji W Kohjima | Family Medicine | Yakima Valley Farm Workers Clinic | 240 Division St, Grandview, WA 98930-1357 |
| Find all physicians in zip 98930 | |||
| City | GRANDVIEW |
| Zip Code | 98930 |
| Specialty | OPTOMETRY |
| City + Specialty | GRANDVIEW + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.