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BOBOTH VISION CLINIC WA PLLC NPI 1699256008


NPI Information

NPI: 1699256008
Provider Name: BOBOTH VISION CLINIC WA, PLLC

Former Legal Business Name: FRED C BOBOTH OD PS

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
403 N EUCLID ST
GRANDVIEW, WA
ZIP 98930
Phone: (509) 882-2650
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BOBOTH VISION CLINIC WA, PLLC is an optometrist in Grandview, WA. The provider is 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. BOBOTH VISION CLINIC WA, PLLC NPI is 1699256008. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Fred C Boboth Od Ps.

The provider's business location address is:

403 N EUCLID ST
GRANDVIEW, WA
ZIP 98930-407
Phone: (509) 882-2650
Fax: (509) 882-4225

The provider's authorized official is Cole Boboth .
The authorized official title is Owner/optometrist and has the following contact phone number (509) 882-2650.

The enumeration date for this NPI number is 8/23/2018 and was last updated on 8/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristWASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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