OrganizationActive
B. Michael Southam, OD, PC
NPI 1912562596 · Optometrist · Winnemucca, NV
B. Michael Southam, OD, PC is a Optometrist organization in Winnemucca, NV (NPI 1912562596).
Provider details
- NPI number
- 1912562596
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- B. Michael Southam OD, PC
- Organization subpart
- Yes
- Authorized official
- Kathryn Southam, Manager(775) 825-0559
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
625 Sheehan St Apt E
Winnemucca, NV 89445-3675
Phone: (775) 625-4733
Fax: (775) 625-4735
Approximate (ZIP-level) locationGet directions
Mailing address
3201 Lakeside Dr
Reno, NV 89509-4830
Other names (DBA / former)
- Doing business as
- Black Rock Vision Center
Registry dates
- Enumerated
- 2019-05-08
- Last updated
- 2019-05-08
Frequently asked questions
- What is B. Michael Southam, OD, PC's NPI number?
- B. Michael Southam, OD, PC's National Provider Identifier (NPI) is 1912562596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is B. Michael Southam, OD, PC?
- B. Michael Southam, OD, PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is B. Michael Southam, OD, PC located?
- B. Michael Southam, OD, PC's practice location on file with NPPES is 625 Sheehan St Apt E, Winnemucca, NV 89445-3675.
- What is B. Michael Southam, OD, PC's phone number?
- The practice phone number listed in the NPPES registry for B. Michael Southam, OD, PC is (775) 625-4733.
- Who is the authorized official for B. Michael Southam, OD, PC?
- The authorized official listed on B. Michael Southam, OD, PC's NPPES record is Kathryn Southam, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is B. Michael Southam, OD, PC's NPI active?
- Yes — B. Michael Southam, OD, PC's NPI (1912562596) is active in the NPPES registry as of the last update on 2019-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.