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

Active since October 18, 2011
407 BURDIN BLVD, GRAND COULEE, WA 99133(509) 633-0340(509) 633-0161 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About B. Michael Southam, O.d., Pc/family Vision Care Of Central Washington NPPES

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

B. MICHAEL SOUTHAM, O.D., PC/FAMILY VISION CARE OF CENTRAL WASHINGTON (NPI 1922383207) is a healthcare organization registered as an optometrist in Grand Coulee, Washington and active in the NPI registry since October 2011. The organization lists Brant Michael Southam, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1922383207
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameB MICHAEL SOUTHAM O D PC
Location Address407 BURDIN BLVDGrand Coulee, WA 99133-0054
Mailing AddressPo Box 54Grand Coulee, WA 99133-0054 · (509) 633-0340 · Fax (509) 633-0161
Phone(509) 633-0340
Fax(509) 633-0161
Organization SubpartNo
Authorized OfficialBrant Michael SouthamOptometrist/owner · (509) 633-0340
Enumeration DateOctober 18, 2011
Last NPPES UpdateAugust 6, 2012
✔ NPI 1922383207 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 WA · 60235215
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.
407 BURDIN BLVD, Grand Coulee, WA 99133
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Other Names 1

Doing Business AsB. Michael Southam, O.d., Pc/family Vision Care Of Central Washington

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

Other Providers at the Same Location NPPES 3

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

KYLE M. GILLESPIE, O.D., LTD.
Optometrist
407 BURDIN BLVD
GRAND COULEE, WA 99133
Grant County (509) 633-0340
OVERALL OPTICS LLC
Clinic/Center (Health Service)
407 BURDIN BLVD
GRAND COULEE, WA 99133
Grant County (509) 633-0340
DUANE L RANA OD
Optometrist
407 BURDIN BLVD
GRAND COULEE, WA 99133
Grant County (509) 633-0340

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 O D PC's NPI number?

The NPI number for B Michael Southam O D PC is 1922383207. It was assigned to this organization in the NPPES registry on October 18, 2011. The provider is doing business as B. Michael Southam, O.D., Pc/Family Vision Care Of Central Washington.

Where is B Michael Southam O D PC located?

B Michael Southam O D PC is located at 407 Burdin Blvd, Grand Coulee, WA 99133. The listed phone number is (509) 633-0340.

What is B Michael Southam O D 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 O D PC was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.