NPI
Brodhead Vision Clinic, Inc
Doing business as Brodhead Vision. NPI 1164416236
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-09-06
- Last updated
- 2014-10-08
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Specialties
Licenses
- License WI
- 1483-035
Location
- Practice location
- 1005 17th Street
- City
- Brodhead WI
- Postal code
- 53520
- Phone
- (608) 897-2128
Organization contact
- Name
- Douglas Kelley
- Title
- Owner/OD
- Phone
- (608) 897-2128
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Brodhead, WI. 54 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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