IndividualActive
Charles Brakefield, OCULARIST
NPI 1457894404 · Ocularist · Madison, WI
Provider details
- NPI number
- 1457894404
- Entity type
- Individual
- Primary specialty
- OcularistEye and Vision Services Providers
- Credential
- OCULARIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036-0002195093-04 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
6401 Odana Rd Ste 23
Madison, WI 53719-1126
Phone: (608) 661-9030
Fax: (608) 661-9040
Approximate (ZIP-level) locationGet directions
Mailing address
2725 Marshall Ct
Madison, WI 53705-2288
Registry dates
- Enumerated
- 2016-11-23
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.