Organization
BOBOTH VISION CLINIC WA, PLLC
Active
Other names
Fred C Boboth OD PS, Boboth Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
COLE BOBOTH (OWNER/OPTOMETRIST)
(509) 882-2650
Entity
Organization
Contact information
Practice address
403 N EUCLID ST, GRANDVIEW, WA 98930-9407
(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
—
WA
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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