Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

B. Michael Southam, OD, PC

Organization Optometrist · NPI 1235550146

B. Michael Southam, OD, PC is an Optometrist in Reno, Nevada. Licensed in Nevada. Registered with an NPI since 2013.

Licensed in
NV
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3201 Lakeside Dr
Reno, NV 89509-4830
Phone: (775) 825-0559
Fax: (775) 829-7918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 779 (NV)

Record details

NPI number1235550146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brant Southam — Owner/President · (775) 825-0559
Other names Black Rock Vision Center
NPI enumeratedDecember 18, 2013
Last updated in NPPESDecember 18, 2013
Mailing address3201 Lakeside Dr, Reno, NV 89509-4830

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