B. Michael Southam, O.D., Pc/ Family Vision Care Of Central Washington

LBN: B Michael Southam O D Pc
B. Michael Southam, O.D., Pc/ Family Vision Care Of Central Washington is an health care organization with primary practice located at 123 Hospital Way , Brewster WA 98812-0578. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. B Michael Southam O D Pc can be contacted via phone (509) 689-2342, or through Southam, Brant Michael via phone (509) 689-2342.

Contact Information

Primary practice address
123 Hospital Way Brewster WA 98812-0578
Fax:
Website:
Authorized official contact:
Name: Southam, Brant Michael Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 60235215 Washington

Profile Details

NPI number 1235412784
LBN Legal business name B Michael Southam O D Pc
DBA Doing business as B. Michael Southam, O.D., Pc/ Family Vision Care Of Central Washington
Authorized official Southam, Brant Michael Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2011
Last updated Aug 6th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers