Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRODHEAD VISION CLINIC, INC
Active OrganizationBRODHEAD VISION CLINIC, INC is a Optometrist organization located in BRODHEAD, Wisconsin. NPI 1164416236 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BRODHEAD, WI
Registration Details
- NPI Number
- 1164416236
- Provider Type
- Organization
- NPI Issued
- Sep 6, 2005 (20.933435284276 yrs)
- Last Updated
- Oct 8, 2014
- License
-
1483-035 (WI)
Practice Information
- Address
-
1005 17TH STREETBRODHEAD, WI, 53520Browse WI providers · Browse ZIP 53520
- Phone
- 6088972128
- Fax
- 6088973937
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.