Brodhead Vision Clinic, Inc
NPI 1164416236 · Optometrist · Brodhead, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brodhead Vision Clinic, Inc is a Optometrist organization in Brodhead, WI (NPI 1164416236).
Provider details
- NPI number
- 1164416236
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Douglas Kelley, Owner/Od(608) 897-2128
- License
- 1483-035 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Brodhead Vision
Registry dates
- Enumerated
- 2005-09-06
- Last updated
- 2014-10-08
Frequently asked questions
- What is Brodhead Vision Clinic, Inc's NPI number?
- Brodhead Vision Clinic, Inc's National Provider Identifier (NPI) is 1164416236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brodhead Vision Clinic, Inc?
- Brodhead Vision Clinic, Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Brodhead Vision Clinic, Inc located?
- Brodhead Vision Clinic, Inc's practice location on file with NPPES is 1005 17th Street, Brodhead, WI 53520.
- What is Brodhead Vision Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Brodhead Vision Clinic, Inc is (608) 897-2128.
- Does Brodhead Vision Clinic, Inc accept Medicare?
- Brodhead Vision Clinic, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brodhead Vision Clinic, Inc?
- The authorized official listed on Brodhead Vision Clinic, Inc's NPPES record is Douglas Kelley, Owner/Od. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brodhead Vision Clinic, Inc's NPI active?
- Yes — Brodhead Vision Clinic, Inc's NPI (1164416236) is active in the NPPES registry as of the last update on 2014-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.