Fred Boboth, O.D., P.S.
NPI 1194879700 · Optometrist · Grandview, WA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fred Boboth, O.D., P.S. is a Optometrist provider in Grandview, WA (NPI 1194879700).
Provider details
- NPI number
- 1194879700
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D., P.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1634TX (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2013-04-10
Frequently asked questions
- What is Fred Boboth's NPI number?
- Fred Boboth's National Provider Identifier (NPI) is 1194879700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fred Boboth's specialty?
- Fred Boboth is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Fred Boboth located?
- Fred Boboth's practice location on file with NPPES is 403 N Euclid Rd, Grandview, WA 98930-9407.
- What is Fred Boboth's phone number?
- The practice phone number listed in the NPPES registry for Fred Boboth is (509) 882-2650.
- Does Fred Boboth accept Medicare?
- Fred Boboth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fred Boboth's NPI active?
- Yes — Fred Boboth's NPI (1194879700) is active in the NPPES registry as of the last update on 2013-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.