B Michael Southam O D PC
B Michael Southam O D PC is an Optometrist in Grand Coulee, Washington. Licensed in Washington. Registered with an NPI since 2011.
- Licensed in
- WA
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
407 Burdin BlvdGrand Coulee, WA 99133-0054
Phone: (509) 633-0340
Fax: (509) 633-0161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 60235215 (WA) |
|---|
Record details
| NPI number | 1922383207 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brant Southam — Optometrist/Owner · (509) 633-0340 |
| Other names | B. Michael Southam, O.D., Pc/Family Vision Care Of Central Washington |
| NPI enumerated | October 18, 2011 |
| Last updated in NPPES | August 6, 2012 |
| Mailing address | Po Box 54, Grand Coulee, WA 99133-0054 |
Other providers in Grand Coulee
-
Kyle M. Gillespie, OD, Ltd
407 Burdin Blvd, Grand Coulee, WA 99133 · (509) 633-0340
-
Duane L Rana, OD
407 Burdin Blvd, Grand Coulee, WA 99133-0054 · (509) 633-0340
-
Dr. Galen Neal Schmidt, OD
407 Burdin Blvd, Grand Coulee, WA 99133 · (509) 633-0340