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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 GRAND COULEE, Washington. NPI 1922383207 is currently active in the NPPES registry. Verify at CMS.

Optometrist · GRAND COULEE, WA

Registration Details

NPI Number
1922383207
Provider Type
Organization
NPI Issued
Oct 18, 2011 (14.824812667008 yrs)
Last Updated
Aug 6, 2012
License
60235215 (WA)

Practice Information

Address
407 BURDIN BLVD
GRAND COULEE, WA, 991330054
Browse WA providers · Browse ZIP 99133
Phone
5096330340
Fax
5096330161
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in GRAND COULEE, 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.