OrganizationActive
B Michael Southam O D PC
NPI 1235412784 · Optometrist · Brewster, WA
Provider details
- NPI number
- 1235412784
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Brant Southam, Optometrist/Owner(509) 689-2342
- License
- 60235215 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
123 Hospital Way
Brewster, WA 98812-0578
Phone: (509) 689-2342
Street-level locationGet directions
Mailing address
123 Hospital Way
Brewster, WA 98812-0578
Other names (DBA / former)
- Doing business as
- B. Michael Southam, O.D., PC/ Family Vision Care of Central Washington
Registry dates
- Enumerated
- 2011-09-21
- Last updated
- 2012-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.