Charles Timothy Brakefield is a Madison, Wisconsin based male eyecare provider who is specialized as Ocularist Technician. He has professional credentials of OCULARIST. Active license number of Charles Timothy Brakefield is 036-0002195093-04 for Ocularist Technician in Wisconsin. Charles Timothy Brakefield is carefully trained technician skilled in the arts of fitting, shaping, and painting ocular prostheses (Artificial Eye) for people who have lost an eye or eyes due to trauma or illness. In addition to creating it, the ocularist shows the patient how to handle and care for the prosthesis, and provides long-term care through periodic examinations.
Complete Profile:
Charles Timothy Brakefield speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1457894404
NPI Enumeration Date:
23 Nov, 2016
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Timothy Brakefield are as mentioned below.
License Number
Specialization
State
Status
036-0002195093-04
Ocularist Technician
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Timothy Brakefield such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
41744100
Medicaid
Wisconsin
0829340001
Other
Wisconsin
MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2725 Marshall Ct, Madison, Wisconsin
Zip:
53705-2288
Phone Number:
608-661-9030
Fax Number:
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Patients can reach Charles Timothy Brakefield at 6401 Odana Rd Ste 23, Madison, Wisconsin or can call to book an appointment on 608-661-9030. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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