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CHARLES TIMOTHY BRAKEFIELD OCULARIST
NPI 1457894404
Technician/Technologist - Ocularist in Madison, WI

Active since November 23, 2016
6401 ODANA RD STE 23, MADISON, WI 53719(608) 661-9030(608) 661-9040 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017, Jun 22, 2017 and 1 more (4 updates tracked since 2016).

About Charles Timothy Brakefield Ocularist NPPES

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

CHARLES TIMOTHY BRAKEFIELD OCULARIST (NPI 1457894404) is an individual ocularist provider in Madison, Wisconsin, licensed in Wisconsin (036-0002195093-04) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1457894404
Entity TypeIndividualMale
Primary Taxonomy156FX1700X
Provider Legal NameCHARLES TIMOTHY BRAKEFIELDCredential: OCULARIST
Location Address6401 ODANA RD STE 23Madison, WI 53719-1126
Mailing Address2725 Marshall CtMadison, WI 53705-2288 · (608) 661-9030
Phone(608) 661-9030
Fax(608) 661-9040
Sole ProprietorYes
Enumeration DateNovember 23, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1457894404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OcularistEye and Vision Services Providers
Taxonomy Code156FX1700X
License✔ Licensed in WI · 036-0002195093-04
Definition
An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.
6401 ODANA RD STE 23, Madison, WI 53719
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Other Names 1

Professional Name (2)Tim Brakefield Ocularist

Other Identifiers 2

Other0829340001WI · Medicare Ptan
Medicaid41744100WI

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 Charles Brakefield's NPI number?

The NPI number for Charles Brakefield is 1457894404. It was assigned to this individual provider in the NPPES registry on November 23, 2016. The provider is also known as Tim Brakefield Ocularist.

Where is Charles Brakefield located?

Charles Brakefield practices at 6401 Odana Rd Ste 23, Madison, WI 53719. The listed phone number is (608) 661-9030.

What is Charles Brakefield's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ocularist, with taxonomy code 156FX1700X.

When was this NPI record last updated?

The NPPES record for Charles Brakefield was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.