Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Brodhead Vision Clinic, Inc

Optometrist in Brodhead, WI · enumerated 2005 · authorized official Douglas Kelley, Owner/Od.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164416236

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Registry record

Entity type Organization (Type 2)

Legal business name Brodhead Vision Clinic, Inc

Other name <Unavail>

Practice address 1005 17th Street, Brodhead, WI, 53520

Phone (608) 897-2128

Fax (608) 897-3937

Enumeration date Sep 6, 2005

Last updated in NPPES Oct 8, 2014

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 1483-035 (WI) Primary

Authorized official

Name Douglas Kelley

Title Owner/Od

Phone (608) 897-2128

Other identifiers

Identifier	Type	State	Issuer
RAILROAD MEDICARE	Other	WI	410035917
38545800	Medicaid	WI	-
PHYSICIANS PLUS	Other	WI	1006622
MERCYCARE	Other	WI	PRUDHGEN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Brodhead Vision Clinic, Inc located?

The practice location on file with NPPES is in Brodhead, WI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-10-08. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-08.