Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brodhead Vision Clinic, Inc

Organization Optometrist · NPI 1164416236

Brodhead Vision Clinic, Inc is an Optometrist in Brodhead, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1005 17th St
Brodhead, WI 53520
Phone: (608) 897-2128
Fax: (608) 897-3937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1483-035 (WI)

Record details

NPI number1164416236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Kelley — Owner/Od · (608) 897-2128
Other names Brodhead Vision
NPI enumeratedSeptember 6, 2005
Last updated in NPPESOctober 8, 2014
Mailing address1005 17th Street, Po Box 0137, Brodhead, WI 53520

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