Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Everett Boboth, OD

Individual provider Optometrist · NPI 1790048163

Dr. Everett Boboth, OD is an Optometry in Grandview, Washington. Graduated from Pacific University - College of Optometry in 2012, 14 years ago. Practices with Boboth Vision Clinic Wa PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
14
Trained at
Pacific University - College of Optometry
Licensed in
WA
In the registry since
2012
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

403 N Euclid St
Grandview, WA 98930-9407
Phone: (509) 882-2650
Fax: (509) 882-4225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD60293170 (WA)

Record details

NPI number1790048163
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 20, 2012
Last updated in NPPESJune 20, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2012 (14 years in practice)
Group practice Boboth Vision Clinic Wa Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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