Boboth Vision Clinic, Wa PLLC
NPI 1699256008ActiveOrganization· Optometrist· Grandview, WA
Optometrist in Grandview, Washington, registered in NPPES in August 2018. The authorized official on file is Cole Vernon Boboth, O.D., Owner/Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699256008 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2018 |
| Last updated in NPPES | Oct 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | 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 Part B Supplier - Clinic/Group Practice (WA) |
|---|
Other optometrists in Grandview
- 1598040644
- 1659725547
- 1790048163
- 1003017476
- 1194879700