BOBOTH VISION CLINIC NPI 1003017476

Optometrist in Grandview, WA

Organization Optometrist

About BOBOTH VISION CLINIC

Boboth Vision Clinic is a provider established in Grandview, Washington specializing in Optometrist. The NPI number of Boboth Vision Clinic is 1003017476 and was 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 11 years ago. Boboth Vision Clinic 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 NameBOBOTH VISION CLINIC
Provider Location Address403 N EUCLID ST GRANDVIEW, WA 98930
Provider Mailing Address403 N EUCLID ST GRANDVIEW, WA 98930
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameBOBOTH VISION CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date05-31-2007
Last Update Date06-14-2011


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.1634TX
License StateWA
Taxonomy DescriptionDoctors 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.

Business Address

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

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Mailing Address

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


Authorized Official

Authorized Official NameDR. FRED C BOBOTH O.D.
Authorized Official TitleOPTOMETRIC PHYSICIAN
Authorized Official Phone(509) 882-2650

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

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

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 4 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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Boboth Vision Clinic is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.