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

Charles Timothy Brakefield, OCULARIST

Individual provider Ocularist · NPI 1457894404

Charles Timothy Brakefield, OCULARIST is an Ocularist in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2016
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Practice location Address checks out

6401 Odana Rd Ste 23
Madison, WI 53719-1126
Phone: (608) 661-9030
Fax: (608) 661-9040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ocularist (primary) Taxonomy 156FX1700X · Licence 036-0002195093-04 (WI)

Record details

NPI number1457894404
Entity typeIndividual (Type 1)
GenderMale
Credentials OCULARIST
Sole proprietorYes
NPI enumeratedNovember 23, 2016
Last updated in NPPESJuly 21, 2022

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