| NPI | 1699256008 |
|---|---|
| Former Legal Business Name | FRED C BOBOTH OD PS |
| Doing Business As | BOBOTH VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | COLE BOBOTH Owner/Optometrist 509-882-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |