Brant Michael Southam is a Reno, Nevada based male Optometrist with 15 years of experience in Optometry. He completed his graduation from Pennsylvania College Of Optometry in 2009. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Brant Michael Southam is 779 for Optometry in Nevada. Brant Michael Southam examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Brant Michael Southam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
15+ years
Medical School Attended:
Pennsylvania College Of Optometry
Graduation Year:
2009
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3201 Lakeside Dr, Reno, Nevada, 89509
Phone:
775-825-0559
Fax:
775-829-7918
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4385786805
Enrollment ID:
I20140506001464
NPI Number:
1831427160
NPI Enumeration Date:
24 Nov, 2009
NPI Last Update On:
30 Aug, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brant Michael Southam are as mentioned below.
License Number
Specialization
State
Status
779
Optometry
Nevada
Primary
OD60235215
Optometry
Washington
Secondary
1727
Optometry
Arizona
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Brant Michael Southam has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
B. Michael Southam, Od, Pc (7911138417)
2
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3201 Lakeside Dr, Reno, Nevada
Zip:
89509-4830
Phone Number:
775-825-0559
Fax Number:
775-829-7918
Patients can reach Brant Michael Southam at 3201 Lakeside Dr, Reno, Nevada or can call to book an appointment on 775-825-0559. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.