B. MICHAEL SOUTHAM, O.D., PC/FAMILY VISION CARE OF CENTRAL WASHINGTON
NPI 1922383207
Optometrist in Grand Coulee, WA

NPI Status: Active since October 18, 2011

Contact Information

407 BURDIN BLVD
GRAND COULEE, WA
ZIP 99133
Phone: (509) 633-0340
Fax: (509) 633-0161

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  • Organization
  • Optometrist

About B. MICHAEL SOUTHAM, O.D., PC/FAMILY VISION CARE OF CENTRAL WASHINGTON

This page provides the complete NPI Profile along with additional information for B. Michael Southam, O.d., Pc/family Vision Care Of Central Washington, a provider established in Grand Coulee, Washington operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1922383207 assigned on October 2011. The practitioner's primary taxonomy code is 152W00000X with license number 60235215 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as B. Michael Southam, O.d., Pc/family Vision Care Of Central Washington. The authorized official of this NPI record is Dr. Brant Michael Southam O.d. (Optometrist/owner)

NPI
1922383207
Provider Legal Name
B MICHAEL SOUTHAM O D PC
Other Organization Name
B. MICHAEL SOUTHAM, O.D., PC/FAMILY VISION CARE OF CENTRAL WASHINGTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
407 BURDIN BLVD GRAND COULEE, WA 99133
Location Phone
(509) 633-0340
Location Fax
(509) 633-0161
Mailing Address
PO BOX 54 GRAND COULEE, WA 99133
Mailing Phone
(509) 633-0340
Mailing Fax
(509) 633-0161
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2011
Last Update Date
08-06-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
60235215
License State
WA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRANT MICHAEL SOUTHAM O.D.

Authorized Official Title
OPTOMETRIST/OWNER
Authorized Official Phone
(509) 633-0340

Reviews for B. MICHAEL SOUTHAM, O.D., PC/FAMILY VISION CARE OF CENTRAL WASHINGTON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922383207
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294268620
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 6 + 8 + 6 + 2 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1922383207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

DUANE L RANA OD

Optometrist

407 BURDIN BLVD
GRAND COULEE, WA
ZIP 99133

(509) 633-0340

KYLE M. GILLESPIE, O.D., LTD.

Optometrist

407 BURDIN BLVD
GRAND COULEE, WA
ZIP 99133

(509) 633-0340

OVERALL OPTICS LLC

Clinic/Center

(Health Service)

407 BURDIN BLVD
GRAND COULEE, WA
ZIP 99133

(509) 633-0340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922383207, enumerated as an "organization" on October 18, 2011.

The provider is located at 407 BURDIN BLVD GRAND COULEE, WA 99133 and the phone number is (509) 633-0340.

Optometrist with taxonomy code 152W00000X.