Dr. Cameron Fredrick Boboth, OD
Optometrist in Fort Smith, AR. Individual provider (NPI-1).
NPI number1043733744
StatusActive
Last updated in NPPESMar 5, 2019
Details
- NPI
- 1043733744
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cameron Fredrick Boboth
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2017
- Last updated
- Mar 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2766 | AR | Yes |
| 152WV0400X | Optometrist, Vision Therapy | 2766 | AR | |
| 152WP0200X | Optometrist, Pediatrics | 2766 | AR |
Practice location
1021 S Waldron RdFort Smith, AR 72903
Phone 479-478-8860 · Fax 479-478-8860
Mailing address
1021 S Waldron RdFort Smith, AR 72903-2549
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