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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES TIMOTHY BRAKEFIELD, OCULARIST

Active Sole Proprietor

Ocularist · MADISON, WI

Registration Details

NPI Number
1457894404
Provider Type
Individual
Gender
Male
NPI Issued
Nov 23, 2016 (9.412287775168 yrs)
Last Updated
Jul 21, 2022
License
036-0002195093-04 (WI)
Sole Proprietor
Yes

Practice Information

Address
6401 ODANA RD STE 23
MADISON, WI, 537191126
Browse WI providers · Browse ZIP 53719
Phone
6086619030
Fax
6086619040
Primary Specialty
Ocularist
156FX1700X

Other Ocularist Providers in MADISON, WI

Name Credential NPI
MR. JEFFREY S DAVIS BCO, BADO 1093141483
MS. DORI K. HOSEK B.C.O., B.A.D.O 1407283955
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.