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Contact Information

FRED C. BOBOTH O.D., P.S.
403 N EUCLID ST
GRANDVIEW, WA98930
 Phone: 509-882-2650
 Fax: 509-882-4225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for FRED C BOBOTH OD PS · (Female)

NPI Number 1003017476
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2007
Last updated 06/14/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 1634TX
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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