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 1912562596

B. Michael Southam, OD, PC is an Optometrist in Winnemucca, Nevada. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

625 Sheehan St Apt E
Winnemucca, NV 89445-3675
Phone: (775) 625-4733
Fax: (775) 625-4735
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1912562596
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationB. Michael Southam OD, PC
Authorized official Kathryn Southam — Manager · (775) 825-0559
Other names Black Rock Vision Center
NPI enumeratedMay 8, 2019
Last updated in NPPESMay 8, 2019
Mailing address3201 Lakeside Dr, Reno, NV 89509-4830

Other providers in Winnemucca