| Boboth Vision Clinic Wa, Pllc | |
|
403 N Euclid St, Grandview, WA 98930-9407 | |
| (509) 882-2650 | |
| (509) 882-4225 |
| Full Name | Boboth Vision Clinic Wa, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 403 N Euclid St, Grandview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699256008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Washington) | Primary |
| Provider Name | Fred Boboth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194879700 PECOS PAC ID: 5597973941 Enrollment ID: I20110914000109 |
| Provider Name | Everett C Boboth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790048163 PECOS PAC ID: 2961667191 Enrollment ID: I20120712000887 |
| Provider Name | Cole V Boboth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598040644 PECOS PAC ID: 8123240470 Enrollment ID: I20141120002439 |
| Provider Name | Cameron Boboth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043733744 PECOS PAC ID: 9234494055 Enrollment ID: I20200204001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Boboth Vision Clinic Wa, Pllc 403 N Euclid St, Grandview, WA 98930-9407 Ph: (509) 882-2650 | Boboth Vision Clinic Wa, Pllc 403 N Euclid St, Grandview, WA 98930-9407 Ph: (509) 882-2650 |
Fred C. Boboth O.d., P.s. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 403 N Euclid St, Grandview, WA 98930 Phone: 509-882-2650 Fax: 509-882-4225 | |
Dr. Fred C Boboth, O.D., P.S. Optometrist Medicare: Medicare Enrolled Practice Location: 403 N Euclid Rd, Grandview, WA 98930 Phone: 509-882-2650 Fax: 509-882-4225 | |
Cole Boboth, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 403 N Euclid St, Grandview, WA 98930 Phone: 509-882-2650 Fax: 509-882-4225 | |
Dana Spearin, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1023 W Wine Country Rd, Grandview, WA 98930 Phone: 509-882-2650 | |
Dr. Everett Boboth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 403 N Euclid St, Grandview, WA 98930 Phone: 509-882-2650 Fax: 509-882-4225 |