Organization
FRED C. BOBOTH O.D., P.S.
Active
Other names
Boboth Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED C BOBOTH O.D. (OPTOMETRIC PHYSICIAN)
(509) 882-2650
Entity
Organization
Contact information
Practice address
403 N EUCLID ST, GRANDVIEW, WA 98930
(509) 882-2650
(509) 882-4225
Mailing address
403 N EUCLID ST, GRANDVIEW, WA 98930-9407
(509) 882-2650
(509) 882-4225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1634TX
WA
Other
Enumeration date
05/31/2007
Last updated
06/14/2011
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