OrganizationActive
B Michael Southam O D PC
NPI 1922383207 · Optometrist · Grand Coulee, WA
B Michael Southam O D PC is a Optometrist organization in Grand Coulee, WA (NPI 1922383207).
Provider details
- NPI number
- 1922383207
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Brant Southam, Optometrist/Owner(509) 633-0340
- 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
407 Burdin Blvd
Grand Coulee, WA 99133-0054
Phone: (509) 633-0340
Fax: (509) 633-0161
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 54
Grand Coulee, WA 99133-0054
Other names (DBA / former)
- Doing business as
- B. Michael Southam, O.D., Pc/Family Vision Care of Central Washington
Registry dates
- Enumerated
- 2011-10-18
- Last updated
- 2012-08-06
Frequently asked questions
- What is B Michael Southam O D PC's NPI number?
- B Michael Southam O D PC's National Provider Identifier (NPI) is 1922383207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is B Michael Southam O D PC?
- B Michael Southam O D PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is B Michael Southam O D PC located?
- B Michael Southam O D PC's practice location on file with NPPES is 407 Burdin Blvd, Grand Coulee, WA 99133-0054.
- What is B Michael Southam O D PC's phone number?
- The practice phone number listed in the NPPES registry for B Michael Southam O D PC is (509) 633-0340.
- Who is the authorized official for B Michael Southam O D PC?
- The authorized official listed on B Michael Southam O D PC's NPPES record is Brant Southam, Optometrist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is B Michael Southam O D PC's NPI active?
- Yes — B Michael Southam O D PC's NPI (1922383207) is active in the NPPES registry as of the last update on 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.