Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EVERETT BOBOTH, O.D.
Active Sole ProprietorDR. EVERETT BOBOTH, O.D. is a Optometrist healthcare provider located in GRANDVIEW, Washington. NPI 1790048163 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GRANDVIEW, WA
Registration Details
- NPI Number
- 1790048163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2012 (14.167881281528 yrs)
- Last Updated
- Jun 20, 2012
- License
-
OD60293170 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
403 N EUCLID STGRANDVIEW, WA, 989309407Browse WA providers · Browse ZIP 98930
- Phone
- 5098822650
- Fax
- 5098824225
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GRANDVIEW, WA
| Name | Credential | NPI |
|---|---|---|
| DR. FRED C BOBOTH | O.D., P.S. | 1194879700 |
| COLE BOBOTH | — | 1598040644 |
| DANA SPEARIN | — | 1659725547 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.