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
Mailing address403 N Euclid St, Grandview, WA 98930-9407

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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