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B. Michael Southam, Od, PC

NPI 1912562596ActiveOrganization· Optometrist· Winnemucca, NV

Optometrist in Winnemucca, Nevada, registered in NPPES in May 2019, part of B. Michael Southam Od, PC. The authorized official on file is Kathryn Southam, Manager.

Overview

NPI1912562596
StatusActive
Entity typeOrganization (subpart)
Parent organizationB. Michael Southam Od, PC
NPI issuedMay 8, 2019
Last updated in NPPESMay 8, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Optometrist providers in Winnemucca

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