Optometrist
B. MICHAEL SOUTHAM, OD, PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1235550146 · enumerated 2013-12-18 · record updated 2013-12-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. BRANT SOUTHAM OD, Owner/President · (775) 825-0559
Other names: BLACK ROCK VISION CENTER
Addresses and phones
- Mailing address 3201 LAKESIDE DR, RENO, NV, 89509-4830 (775) 825-0559 Fax (775) 829-7918 Google Maps Apple Maps OpenStreetMap
- Practice location 3201 LAKESIDE DR, RENO, NV, 89509-4830 (775) 825-0559 Fax (775) 829-7918 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License 779 NV
In this directory
Locations and evidence
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Practice location
RENO, NV, 895094830
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.