B. MICHAEL SOUTHAM, OD, PC
NPI 1912562596
Optometrist in Winnemucca, NV

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

The NPI number for B. Michael Southam, Od, PC is 1912562596. It was assigned to this organization in the NPPES registry on May 8, 2019. The provider is doing business as Black Rock Vision Center.

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

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

Active since May 08, 2019

625 SHEEHAN ST APT E, WINNEMUCCA, NV 89445(775) 625-4733(775) 625-4735 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About B. Michael Southam, Od, Pc NPPES

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

B. MICHAEL SOUTHAM, OD, PC (NPI 1912562596), doing business as Black Rock Vision Center, is a healthcare organization registered as an optometrist in Winnemucca, Nevada and active in the NPI registry since May 2019. The organization lists Kathryn Southam, Manager, as its authorized official.

NPPES Registry Identity

NPI1912562596

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameB. MICHAEL SOUTHAM, OD, PC

Location Address625 SHEEHAN ST APT EWinnemucca, NV 89445-3675

Mailing Address3201 Lakeside DrReno, NV 89509-4830 · (775) 825-0559 · Fax (775) 829-7918

Phone(775) 625-4733

Fax(775) 625-4735

Organization SubpartYesParent: B. Michael Southam Od, Pc

Authorized OfficialKathryn SouthamManager · (775) 825-0559

Enumeration DateMay 8, 2019

✔ NPI 1912562596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

625 SHEEHAN ST APT E, Winnemucca, NV 89445

Open in Google Maps ↗

Other Names 1

Doing Business AsBlack Rock Vision Center

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

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 1912562596. It was assigned to this organization in the NPPES registry on May 8, 2019. 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 625 Sheehan St Apt E, Winnemucca, NV 89445. The listed phone number is (775) 625-4733.

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

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

When was this NPI record last updated?

The NPPES record for B. Michael Southam, Od, PC was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.