| NPI | 1003017476 | 
|---|---|
| Doing Business As | BOBOTH VISION CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | FRED C BOBOTH Optometric Physician 509-882-2650  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 1634TX)  | 
| Enumeration Date | 2007-05-31 | 
| Last Update Date | 2011-06-14 |