Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Fred C Boboth, O.D., P.S.

Optometrist in Grandview, WA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194879700

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Registry record

Entity type Individual (Type 1)

Name Dr. Fred C Boboth

Credential O.D., P.S.

Sex Male

Practice address Grandview, WA, 98930

Phone (509) 882-2650

Fax (509) 882-4225

Enumeration date Jan 22, 2007

Last updated in NPPES Apr 10, 2013

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 1634TX (WA) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
0317360001	Other	WA	DME REGION D SUPPLIER NO
G8902905	Other	WA	CHAMPUS ID NO REGION WEST
71549	Other	WA	LABOR AND INDUSTRIES
911936651	Other	WA	GROUP HEALTH NORTHWEST
BO4392	Other	WA	BLUE CROSS BLUE SHIELD NO
911936651	Other	WA	PREMERA BLUE CROSS
010062119	Other	WA	MEDICARE RAILROAD
2021554	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Fred Boboth's NPI record?

Cross-check NPI 1194879700 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1194879700 active?

Yes, as of the latest NPPES snapshot, NPI 1194879700 is active (record last updated 2013-04-10).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-10.