DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

B MICHAEL SOUTHAM O D PC

Active Organization

B MICHAEL SOUTHAM O D PC is a Optometrist organization located in BREWSTER, Washington. NPI 1235412784 is currently active in the NPPES registry. Verify at CMS.

Optometrist · BREWSTER, WA

Registration Details

NPI Number
1235412784
Provider Type
Organization
NPI Issued
Sep 21, 2011 (14.752054513627 yrs)
Last Updated
Aug 6, 2012
License
60235215 (WA)

Practice Information

Address
123 HOSPITAL WAY
BREWSTER, WA, 988120578
Browse WA providers · Browse ZIP 98812
Phone
5096892342
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in BREWSTER, WA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.