Organization · Type 2 NPI

B Michael Southam O D PC

Optometrist · Brewster, WA

NPI number 1235412784 Active

Practice location

123 Hospital Way
Brewster, WA 98812-0578

Specialties and licenses

Taxonomy	Code	License
Optometrist Primary	152W00000X	60235215 (WA)

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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

6 other providers at this address

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NPI record

NPI: 1235412784
Entity type: Organization (Type 2)
Issued: Sep 21, 2011
Last updated: Aug 6, 2012
Status: Active

Other names

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B. Michael Southam, O.d., Pc/ Family Vision Care of Central Washington · doing business as

Authorized official

Dr. Brant Michael Southam, OD
Optometrist/owner
(509) 689-2342

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About NPI 1235412784

B Michael Southam O D PC's National Provider Identifier is 1235412784, issued on Sep 21, 2011. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Brewster, WA. The record was last updated on Aug 6, 2012.