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BLACK ROCK VISION CENTER
NPI 1235550146
Optometrist in Reno, NV

Active since December 18, 2013
3201 LAKESIDE DR, RENO, NV 89509(775) 825-0559(775) 829-7918 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Black Rock Vision Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK ROCK VISION CENTER (NPI 1235550146) is a healthcare organization registered as an optometrist in Reno, Nevada and active in the NPI registry since December 2013. The organization lists Brant Michael Southam, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1235550146
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameB. MICHAEL SOUTHAM, OD, PC
Location Address3201 LAKESIDE DRReno, NV 89509-4830
Mailing Address3201 Lakeside DrReno, NV 89509-4830 · (775) 825-0559 · Fax (775) 829-7918
Phone(775) 825-0559
Fax(775) 829-7918
Organization SubpartNo
Authorized OfficialBrant Michael SouthamOwner/president · (775) 825-0559
Enumeration DateDecember 18, 2013
✔ NPI 1235550146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NV · 779
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3201 LAKESIDE DR, Reno, NV 89509
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Other Names 1

Doing Business AsBlack Rock Vision Center

Other Identifiers 1

Medicaid100533928NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD FREDERICK MEIER OD
Optometrist
3201 LAKESIDE DR
RENO, NV 89509
Washoe County (775) 825-0559
RICHARD F MEIER OD LTD
Optometrist
3201 LAKESIDE DR
RENO, NV 89509
Washoe County (775) 825-0559
BRANT MICHAEL SOUTHAM O.D.
Optometrist
3201 LAKESIDE DR
RENO, NV 89509
Washoe County (775) 825-0559
RYLEE MARIE ZIEGLER OD
Optometrist
3201 LAKESIDE DR
RENO, NV 89509
Washoe County (775) 825-0559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is B. Michael Southam, Od, PC's NPI number?

The NPI number for B. Michael Southam, Od, PC is 1235550146. It was assigned to this organization in the NPPES registry on December 18, 2013. The provider is doing business as Black Rock Vision Center.

Where is B. Michael Southam, Od, PC located?

B. Michael Southam, Od, PC is located at 3201 Lakeside Dr, Reno, NV 89509. The listed phone number is (775) 825-0559.

What is B. Michael Southam, Od, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does B. Michael Southam, Od, PC accept?

Health plans from BlueCross BlueShield of Tennessee list B. Michael Southam, Od, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for B. Michael Southam, Od, PC was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.