FRED C. BOBOTH O.D., P.S. NPI 1003017476
Optometrist in Grandview, WA
About FRED C. BOBOTH O.D., P.S.
Boboth Vision Clinic is a provider established in Grandview, Washington operating as a Optometrist. The NPI number of this provider 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 12 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 Name | FRED C. BOBOTH O.D., P.S. |
| Location Address | 403 N EUCLID ST GRANDVIEW, WA 98930 |
| Location Phone | (509) 882-2650 |
| Mailing Address | 403 N EUCLID ST GRANDVIEW, WA 98930 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | BOBOTH VISION CLINIC |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 05-31-2007 |
| Last Update Date | 06-14-2011 |
Primary Taxonomy
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.
| Taxonomy Code | 152W00000X |
| Classification | Optometrist |
| 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
403 N EUCLID ST
GRANDVIEW, WA
ZIP 98930
Phone: (509) 882-2650
Fax: (509) 882-4225
Mailing Address
403 N EUCLID ST
GRANDVIEW, WA
ZIP 98930
Phone: (509) 882-2650
Fax: (509) 882-4225
Location Map
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 |
|---|---|---|
| 0317360001 | MEDICARE 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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 7 | 4 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 14 | 4 | 14 | |
| 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 = 6 | 6 | ||||||||
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 |
|---|---|---|---|
| 1790048163 | DR. EVERETT BOBOTH O.D. Individual | Optometrist | 403 N EUCLID ST GRANDVIEW, WA 98930 (509) 882-2650 |
| 1598040644 | COLE BOBOTH Individual | Optometrist | 403 N EUCLID ST GRANDVIEW, WA 98930 (509) 882-2650 |
| 1699256008 | BOBOTH VISION CLINIC WA, PLLC Organization | Optometrist | 403 N EUCLID ST GRANDVIEW, WA 98930 (509) 882-2650 |
| 1306582192 | CHRISTOPHER ESTRADA MASSAGE THERAPIST Individual | Massage Therapist | 403 N EUCLID ST GRANDVIEW, WA 98930 (509) 402-9020 |
Frequently Asked Questions
What is BOBOTH VISION CLINIC NPI number?
The NPI number assigned to this healthcare provider is 1003017476, registered as an "organization" on May 31, 2007
Where is BOBOTH VISION CLINIC located?
The provider is located at 403 N Euclid St Grandview, Wa 98930 and the phone number is (509) 882-2650
What kind of medical provider is BOBOTH VISION CLINIC?
This medical organization specializes in Optometrist
What insurance does BOBOTH VISION CLINIC accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
How do I update my NPI information?
The NPI record of BOBOTH VISION CLINIC 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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