National Provider Identifier Database

B MICHAEL SOUTHAM O D PC
Optometrist

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.


Contact Information

B MICHAEL SOUTHAM O D PC
407 BURDIN BLVD
GRAND COULEE, WA99133-0054
Phone: 509-633-0340
Fax: 509-633-0161
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for B MICHAEL SOUTHAM O D PC

NPI Number 1922383207
Legal business name
LBN
B MICHAEL SOUTHAM O D PC
Authorized official BRANT SOUTHAM - (OPTOMETRIST/OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/18/2011
Last updated 08/06/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 60235215

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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