CHARLES TIMOTHY BRAKEFIELD OCULARIST NPI 1457894404

NPI Information

  • NPI: 1457894404
  • Provider Name: CHARLES TIMOTHY BRAKEFIELD, OCULARIST
  • Classification: Technician/Technologist - 156FX1700X
  • Specialization: Ocularist
  • Entity Type: Individual
  • Address: 6401 ODANA RD STE 23
    MADISON, WI
    ZIP 53719
  • Phone: (608) 661-9030

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NPI Details

Charles Timothy Brakefield, OCULARIST is an ocularist technician technologist in Madison, WI. The provider is 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. Charles Timothy Brakefield, OCULARIST NPI is 1457894404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6401 ODANA RD STE 23
MADISON, WI
ZIP 53719-126
Phone: (608) 661-9030
Fax: (608) 661-9040

The enumeration date for this NPI number is 11/23/2016 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1700XTechnician/TechnologistOcularist036-0002195093-04WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10829340001OTHERWISCONSINMEDICARE PTAN
241744100MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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