BOBOTH VISION CLINIC
NPI 1003017476
Optometrist in Grandview, WA

NPI Status: Active since May 31, 2007

Contact Information

403 N EUCLID ST
GRANDVIEW, WA
ZIP 98930
Phone: (509) 882-2650
Fax: (509) 882-4225

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  • Organization
  • Optometrist

About BOBOTH VISION CLINIC

Boboth Vision Clinic is a provider established in Grandview, Washington operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1003017476 assigned on May 2007. The practitioner's primary taxonomy code is 152W00000X with license number 1634TX (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Boboth Vision Clinic. The authorized official of this NPI record is Dr. Fred C Boboth O.d. (Optometric Physician)

NPI
1003017476
Provider Legal Name
FRED C. BOBOTH O.D., P.S.
Other Organization Name
BOBOTH VISION CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
403 N EUCLID ST GRANDVIEW, WA 98930
Location Phone
(509) 882-2650
Location Fax
(509) 882-4225
Mailing Address
403 N EUCLID ST GRANDVIEW, WA 98930
Mailing Phone
(509) 882-2650
Mailing Fax
(509) 882-4225
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
05-31-2007
Last Update Date
06-14-2011
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
1634TX
License State
WA
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. FRED C BOBOTH O.D.

Authorized Official Title
OPTOMETRIC PHYSICIAN
Authorized Official Phone
(509) 882-2650

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0317360001MEDICARE NSC (07) 

Reviews for BOBOTH VISION CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003017476
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 4 + 1 + 4 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003017476 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790048163DR. EVERETT BOBOTH O.D.
Individual
Optometrist403 N EUCLID ST
GRANDVIEW, WA 98930
(509) 882-2650
1598040644 COLE BOBOTH
Individual
Optometrist403 N EUCLID ST
GRANDVIEW, WA 98930
(509) 882-2650
1699256008BOBOTH VISION CLINIC WA, PLLC
Organization
Optometrist403 N EUCLID ST
GRANDVIEW, WA 98930
(509) 882-2650
1306582192 CHRISTOPHER ESTRADA MASSAGE THERAPIST
Individual
Massage Therapist403 N EUCLID ST
GRANDVIEW, WA 98930
(509) 402-9020
1730666231 ANGELICA OROSCO LMT
Individual
Massage Therapist403 N EUCLID ST
GRANDVIEW, WA 98930
(509) 402-9020
1649776949 JUAN RAMON CAMACHO DC
Individual
Chiropractor (Independent Medical Examiner)403 N EUCLID ST
GRANDVIEW, WA 98930
(509) 402-9020
1770343006MR. DEVIN JAY AMARO LMT
Individual
Massage Therapist403 N EUCLID ST
GRANDVIEW, WA 98930
(509) 402-9020
1013488360CAMACHO CHIROPRACTIC AND SPORTS MEDICINE
Organization
Chiropractor403 N EUCLID ST
GRANDVIEW, WA 98930
(509) 402-9020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003017476, enumerated in the NPI registry as an "organization" on May 31, 2007

The provider is located at 403 N Euclid St Grandview, Wa 98930 and the phone number is (509) 882-2650

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 31, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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