NPI 1457894404

Charles Timothy Brakefield, OCULARIST

Practitioner Ocularist Madison, WI

Practice location

Address: 6401 Odana Rd STE 23, Madison, WI 53719-1126
Phone: (608) 661-9030
Fax: (608) 661-9040
Mailing address: 2725 Marshall CT, Madison, WI 53705-2288

Registered specialties

Ocularist Primary

Eye and Vision Services Providers Taxonomy 156FX1700X Licence 036-0002195093-04 (WI)

Other Technician/Technologist providers in Wisconsin →

Registry record

NPI: 1457894404
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2016
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.