| NPI | 1235412784 |
|---|---|
| Doing Business As | B. MICHAEL SOUTHAM, O.D., PC/ FAMILY VISION CARE OF CENTRAL WASHINGTON |
| Entity Type | Organization |
| Authorized Contact | BRANT MICHAEL SOUTHAM Optometrist/Owner 509-689-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60235215) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2012-08-06 |