Fred C. Boboth, O.D., P.S.
NPI 1194879700ActiveIndividual· Optometrist· Grandview, WA
Optometrist (O.D., P.S.) in Grandview, Washington, licensed in WA, with an NPI issued in January 2007. Part D covered 13 prescriptions written in 2024, 92% of them generic.
Overview
| NPI | 1194879700 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D., P.S. |
| Sole proprietor | Yes |
| NPI issued | Jan 22, 2007 |
| Last updated in NPPES | Apr 10, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1634TX | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (WA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 13 · 14 30-day fills |
|---|---|
| Total drug cost | $427.54 |
| Generic share | 92% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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