BOBOTH VISION CLINIC WA, PLLC
NPI 1699256008
Optometrist in Grandview, WA
About Boboth Vision Clinic Wa, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOBOTH VISION CLINIC WA, PLLC (NPI 1699256008), doing business as Fred C Boboth Od Ps, is a healthcare organization registered as an optometrist in Grandview, Washington and active in the NPI registry since August 2018. The organization lists Cole Boboth, Owner/optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boboth Vision Clinic Wa, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Boboth Vision Clinic Wa, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Boboth Vision Clinic Wa, PLLC's NPI number?
The NPI number for Boboth Vision Clinic Wa, PLLC is 1699256008. It was assigned to this organization in the NPPES registry on August 23, 2018. The provider is doing business as Boboth Vision Clinic. The provider was formerly known as Fred C Boboth Od Ps.
Where is Boboth Vision Clinic Wa, PLLC located?
Boboth Vision Clinic Wa, PLLC is located at 403 N Euclid St, Grandview, WA 98930. The listed phone number is (509) 882-2650.
What is Boboth Vision Clinic Wa, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Boboth Vision Clinic Wa, PLLC enrolled in Medicare?
Yes. Boboth Vision Clinic Wa, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boboth Vision Clinic Wa, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Boboth Vision Clinic Wa, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Boboth Vision Clinic Wa, PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Boboth Vision Clinic Wa, PLLC 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 Boboth Vision Clinic Wa, PLLC was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Boboth Vision Clinic Wa, Pllc · NPI 1699256008
Optometrist organization in Grandview, Washington. Organization record, active in the CMS NPPES registry since August 23, 2018.
## Identity
- **NPI:** 1699256008 (Entity type: Organization)
- **Enumerated:** August 23, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Boboth Vision Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Cole Boboth, OWNER/OPTOMETRIST
## Practice location
- **Address:** 403 N EUCLID ST, Grandview, WA 98930-9407
- **Phone:** (509) 882-2650 · **Fax:** (509) 882-4225
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1699256008) · Data from the CMS NPPES public registry.