Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194879700 Individual Practitioner Male Practitioner

Dr. Fred C Boboth , OD, PS

Optometrist • Grandview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Fred Boboth, OD, PS is a registered healthcare professional specializing in Optometrist in Grandview, WA. Practice services are available at 403 N EUCLID RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

403 N Euclid Rd

Grandview, WA 989309407

Telephone 5098822650
Fax 5098824225
Associated Practice Facility / Clinic
🏢 Fred C. Boboth O.d., P.s. Facility NPI 1003017476

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Grandview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Grandview, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
33.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
103 103 $140.00 $127.67
99213 Established patient office or other outpatient visit, typically 15 minutes
31 28 $110.00 $73.13
66984 Removal of cataract with insertion of lens
18 11 $304.00 $124.47
92004 New patient complete exam of visual system
16 16 $142.50 $140.67

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA 1634TX

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2021554 (WA)
Commercial Insurance / Payer ID Champus Id No Region West
G8902905 (WA)
Commercial Insurance / Payer ID Labor And Industries
71549 (WA)
Commercial Insurance / Payer ID Group Health Northwest
911936651 (WA)
Commercial Insurance / Payer ID Dme Region D Supplier No
0317360001 (WA)
Commercial Insurance / Payer ID Premera Blue Cross
911936651 (WA)
Commercial Insurance / Payer ID Medicare Railroad
010062119 (WA)
Commercial Insurance / Payer ID Blue Cross Blue Shield No
BO4392 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Cole Boboth

Optometrist

NPI 1598040644
Dana Spearin

Optometrist

NPI 1659725547
NPI 1790048163

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2013

Registered at 403 N EUCLID RD, GRANDVIEW, WA 989309407 (Tel: 5098822650)

📍
Updated Business Mailing Address April 10, 2013

Registered at 403 N EUCLID RD, GRANDVIEW, WA 989309407 (Tel: 5098822650)

👤
Provider Name / Credentials Updated April 10, 2013

Recorded as FRED BOBOTH, O.D., P.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2013

Optometrist (License #1634TX in WA)

🟢
Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Fred Boboth. Be the first to share your experience!

Sign in to leave a review for Dr. Fred Boboth

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194879700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: April 10, 2013
Sole Proprietor: Yes

Mailing Address

403 N Euclid Rd

Grandview, WA 989309407

Phone: 5098822650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.