Cole Boboth, | |
403 N Euclid St, Grandview, WA 98930-9407 | |
(509) 882-2650 | |
(509) 882-4225 |
Full Name | Cole Boboth |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 10 Years |
Location | 403 N Euclid St, Grandview, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598040644 | NPI | - | NPPES |
91-1936651 | Other | WA | VISION SERVICE PLAN |
2021554 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD60469574 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boboth Vision Clinic Wa Pllc | 7517207756 | 4 |
Provider Name | Boboth Vision Clinic Wa Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699256008 PECOS PAC ID: 7517207756 Enrollment ID: O20190325002753 |
Mailing Address | Practice Location Address |
---|---|
Cole Boboth, 403 N Euclid St, Grandview, WA 98930-9407 Ph: (509) 882-2650 | Cole Boboth, 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 | |
Dana Spearin, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1023 W Wine Country Rd, Grandview, WA 98930 Phone: 509-882-2650 | |
Boboth Vision Clinic Wa, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 403 N Euclid St, Grandview, WA 98930 Phone: 509-882-2650 Fax: 509-882-4225 | |
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 |