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NPI · 1164416236 · NPPES-sourced

Brodhead Vision Clinic, INC

ActiveOptometrist
NPI Number
1164416236
Type 2 · Organisation
Taxonomy Code
152W00000X
Contact
(608) 897-2128
License WI · 1483-035
Last Updated
Enumerated
Primary practice addressWI · 53520
1005 17th StreetBrodhead, WI 53520
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About this NPIWhat this record shows.

NPI 1164416236 is registered to Brodhead Vision Clinic, INC, a healthcare organisation classified as "Optometrist" and located at 1005 17th Street in Brodhead, Wisconsin. The organisation's authorised official is Douglas Kelley. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • RAILROAD MEDICAREWI· Issued by 410035917
  • PHYSICIANS PLUSWI· Issued by 1006622
  • MERCYCAREWI· Issued by PRUDHGEN

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Brodhead Vision Clinic, INC accepts. To confirm in-network status with your specific health plan, contact Brodhead Vision Clinic, INC directly at (608) 897-2128.

Frequently asked

Yes. NPI 1164416236 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (608) 897-2128.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Brodhead Vision Clinic, INC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy152W00000X
Last updated
Enumerated
StatusActive
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