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DR. FRED C BOBOTH O.D., P.S.
NPI 1194879700
Optometrist in Grandview, WA

Active since January 22, 2007PECOS Enrolled
403 N EUCLID RD, GRANDVIEW, WA 98930(509) 882-2650(509) 882-4225 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fred C Boboth O.d., P.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRED C BOBOTH O.D., P.S. (NPI 1194879700) is an individual optometrist in Grandview, Washington, licensed in Washington (1634TX) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194879700
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. FRED C BOBOTHCredential: O.D., P.S.
Location Address403 N EUCLID RDGrandview, WA 98930-9407
Mailing Address403 N Euclid RdGrandview, WA 98930-9407 · (509) 882-2650 · Fax (509) 882-4225
Phone(509) 882-2650
Fax(509) 882-4225
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateApril 10, 2013
✔ NPI 1194879700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · 1634TX
Definition
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.
403 N EUCLID RD, Grandview, WA 98930
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Other Identifiers 10

Other71549WA · Labor And Industries
Medicare PING8902905WA
Other0317360001WA · Dme Region D Supplier No
Medicare UPINU20862WA
Other010062119WA · Medicare Railroad
OtherG8902905WA · Champus Id No Region West
Other911936651WA · Premera Blue Cross
Medicaid2021554WA
OtherBO4392WA · Blue Cross Blue Shield No
Other911936651WA · Group Health Northwest

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fred C Boboth O.d., P.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98930 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Boboth's NPI number?

The NPI number for Fred Boboth is 1194879700. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Fred Boboth located?

Fred Boboth practices at 403 N Euclid Rd, Grandview, WA 98930. The listed phone number is (509) 882-2650.

What is Fred Boboth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Fred Boboth enrolled in Medicare?

Yes. Fred Boboth is registered in the Medicare PECOS enrollment system.

What insurance does Fred Boboth accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Fred Boboth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fred Boboth was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.