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BRODHEAD VISION
NPI 1164416236
Optometrist in Brodhead, WI

Active since September 06, 2005
1005 17TH STREET, BRODHEAD, WI 53520(608) 897-2128(608) 897-3937 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brodhead Vision NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRODHEAD VISION (NPI 1164416236) is a healthcare organization registered as an optometrist in Brodhead, Wisconsin and active in the NPI registry since September 2005. The organization lists Douglas Kelley, Owner/od, as its authorized official.

NPPES Registry Identity

NPI1164416236
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBRODHEAD VISION CLINIC, INC
Location Address1005 17TH STREETBrodhead, WI 53520
Mailing Address1005 17th Street, Po Box 0137Brodhead, WI 53520 · (608) 897-2128 · Fax (608) 897-3937
Phone(608) 897-2128
Fax(608) 897-3937
Organization SubpartNo
Authorized OfficialDouglas KelleyOwner/od · (608) 897-2128
Enumeration DateSeptember 6, 2005
Last NPPES UpdateOctober 8, 2014
✔ NPI 1164416236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 1483-035
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1005 17TH STREET, Brodhead, WI 53520
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Other Names 1

Doing Business AsBrodhead Vision

Other Identifiers 8

Medicare UPINT63036WI
Medicare ID-Type Unspecified000047153WI · Medicare
OtherPHYSICIANS PLUSWI · 1006622
Medicare PINWI1948WI
OtherMERCYCAREWI · Prudhgen
Medicare NSC0467680001WI
OtherRAILROAD MEDICAREWI · 410035917
Medicaid38545800WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brodhead Vision Clinic, Inc's NPI number?

The NPI number for Brodhead Vision Clinic, Inc is 1164416236. It was assigned to this organization in the NPPES registry on September 6, 2005. The provider is doing business as Brodhead Vision.

Where is Brodhead Vision Clinic, Inc located?

Brodhead Vision Clinic, Inc is located at 1005 17th Street, Brodhead, WI 53520. The listed phone number is (608) 897-2128.

What is Brodhead Vision Clinic, Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Brodhead Vision Clinic, Inc accept?

Health plans from Quartz list Brodhead Vision Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brodhead Vision Clinic, Inc was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.