Organization · Type 2 NPI

B Michael Southam O D PC

Optometrist · Grand Coulee, WA

NPI number 1922383207 Active

Practice location

407 Burdin Blvd
Grand Coulee, WA 99133-0054

Fax (509) 633-0161

Mailing address

PO Box 54
Grand Coulee, WA 99133-0054

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X60235215 (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…

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About NPI 1922383207

B Michael Southam O D PC's National Provider Identifier is 1922383207, issued on Oct 18, 2011. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Grand Coulee, WA. The record was last updated on Aug 6, 2012.