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B Michael Southam O D PC

Optometrist in Grand Coulee, WA · enumerated 2011 · authorized official Brant Southam, Optometrist/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922383207

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Registry record

Entity type Organization (Type 2)
Legal business name B Michael Southam O D PC
Other name <Unavail>
Practice address 407 Burdin Blvd, Grand Coulee, WA, 99133
Phone (509) 633-0340
Fax (509) 633-0161
Enumeration date Oct 18, 2011
Last updated in NPPES Aug 6, 2012

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 60235215 (WA) Primary

Authorized official

Name Brant Southam
Title Optometrist/Owner
Phone (509) 633-0340

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for B Michael Southam O D PC?
NPPES lists Brant Southam (Optometrist/Owner) as the authorized official for this organization.
What is the NPI number for B Michael Southam O D PC?
The NPI for B Michael Southam O D PC is 1922383207, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-06.