NPI 1003017476

Fred C. Boboth O.D., P.S.

Organisation Optometrist Grandview, WA

Practice location

Address: 403 N Euclid St, Grandview, WA 98930
Phone: (509) 882-2650
Fax: (509) 882-4225
Mailing address: 403 N Euclid St, Grandview, WA 98930-9407

Authorised official

Name: Fred C Boboth
Title: Optometric Physician
Phone: (509) 882-2650

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1634TX (WA)

Other Optometrist providers in Washington →

Registry record

NPI: 1003017476
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 14 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.