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Contact Information

COLE BOBOTH
403 N EUCLID ST
GRANDVIEW, WA98930-9407
 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 COLE BOBOTH · (Male)

NPI Number 1598040644
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2011
Last updated 09/10/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OD60469574
  • WA Medicaid 2021554
  • WA Other 91-1936651 VISION SERVICE PLAN
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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