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

Brant Michael Southam, OD

Individual provider Optometrist · NPI 1831427160

Brant Michael Southam, OD is an Optometry in Reno, Nevada. Graduated from Pennsylvania College of Optometry in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Arizona, Nevada and Washington.

Years since qualifying
17
Trained at
Pennsylvania College of Optometry
Licensed in
AZ, NV, WA
In the registry since
2009
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3201 Lakeside Dr
Reno, NV 89509
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)
Optometrist Taxonomy 152W00000X · Licence OD60235215 (WA)
Optometrist Taxonomy 152W00000X · Licence 1727 (AZ)

Record details

NPI number1831427160
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 24, 2009
Last updated in NPPESAugust 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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