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 |
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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 |
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1699256008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Washington) | Primary |
Provider Name | Fred Boboth |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194879700 PECOS PAC ID: 5597973941 Enrollment ID: I20110914000109 |
Provider Name | Everett C Boboth |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790048163 PECOS PAC ID: 2961667191 Enrollment ID: I20120712000887 |
Provider Name | Cole V Boboth |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598040644 PECOS PAC ID: 8123240470 Enrollment ID: I20141120002439 |
Provider Name | Dana M Spearin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659725547 PECOS PAC ID: 1759657257 Enrollment ID: I20171029000006 |
Provider Name | Cameron Boboth |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043733744 PECOS PAC ID: 9234494055 Enrollment ID: I20200204001990 |
Mailing Address | Practice Location Address |
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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 |
Boboth Vision Clinic 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 |