WISCONSIN VISION, INC (NPI# 1518005719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518005719 |
Entity Type | Organization |
Organization Name | WISCONSIN VISION, INC |
Practice Address |
2612 E Washington Ave Madison WI 53704-5026 |
Mailing Address |
16800 West Cleveland Ave New Berlin WI 53151-3533 |
Practice Telephone | 6082495100 |
Practice Fax Number | 6082495306 |
Mailing Telephone | 2624322005 |
Mailing Fax Number | 2624322006 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2008-05-21 |
Authorized Official Name | MR. DARREN THOMAS HORNDASCH (PRESIDENT CEO) |
Authorized Official Telephone | 2624322005 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DAVIS VISION PROVIDER NO. | 57262 | 01 | |
SPECTERA PROVIDER NO. | 09298 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568654333 | Wisconsin Vision, Inc | Technician/Technologist | 6035 Durand Ave, Racine, WI 53406-5049 | 2007-08-15 |
1871631978 | Wisconsin Vision, Inc | Technician/Technologist | 2030 S Reed Rd, Kokomo, IN 46902-1905 | 2007-02-01 |
1548308745 | Wisconsin Vision, Inc | Technician/Technologist | 2929 Milton Ave, Janesville, WI 53545-0253 | 2007-02-01 |
1588702781 | Wisconsin Vision, Inc | Technician/Technologist | 1510 S Koeller St, Oshkosh, WI 54902-6167 | 2007-02-01 |
1770621971 | Wisconsin Vision, Inc | Technician/Technologist | 351 N Casaloma Dr, Appleton, WI 54913-9101 | 2007-02-01 |
1538207717 | Wisconsin Vision, Inc | Technician/Technologist | 7528 W Burleigh St, Milwaukee, WI 53210-1030 | 2007-02-01 |
1235277427 | Wisconsin Vision, Inc | Technician/Technologist | 4818 S 76th St Ste 1, Greenfield, WI 53220-4362 | 2007-02-01 |
1639217730 | Wisconsin Vision, Inc | Technician/Technologist | 3972 W Jefferson Blvd, Fort Wayne, IN 46804-6812 | 2007-02-01 |
1497893598 | Wisconsin Vision, Inc | Technician/Technologist | 280 N Phelps Ave Unit A, Rockford, IL 61108-2498 | 2007-02-01 |
1427561166 | Wisconsin Vision, Inc | Optometrist | 358 S Koeller St, Oshkosh, WI 54902-5546 | 2017-11-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | WISCONSIN VISION, INC. | 16800 W. Cleveland Ave, New Berlin, WI 53151 |
Street Address |
2612 E WASHINGTON AVE |
City | MADISON |
State | WI |
Zip Code | 53704-5026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770839508 | Sara Margaret Winkler | Optometrist | 2612 E Washington Ave, Madison, WI 53704-5026 | 2012-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
Find all providers in zip 53704 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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1063650729 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4237 Lien Rd Ste E, Madison, WI 53704-3686 | 2009-02-03 |
1306971767 | Neill Vision Inc | Technician/Technologist | 7779 Highway 72 West, Madison, AL 35758 | 2007-02-23 |
1447398649 | Wisconsin Vision, Inc. | Technician/Technologist | 5505 Odana Rd, Madison, WI 53719-1205 | 2007-02-01 |
1659426252 | Richard Charles Luke | Technician/Technologist | 1410 Eatonton Rd, Madison, GA 30650-4600 | 2007-01-24 |
1083791495 | Patrick Joseph Moriarty | Technician/Technologist | 59 Bradley Rd, Madison, CT 06443-2632 | 2006-11-01 |
1922358225 | Wal-mart Stores East Lp | Technician/Technologist | 8580 Highway 72 W, Madison, AL 35758-9578 | 2012-09-13 |
1689841231 | Madison Optical | Technician/Technologist | 59 Bradley Rd, Madison, CT 06443-2632 | 2008-05-13 |
1376626002 | Wal-mart Stores East, Lp | Technician/Technologist | 567 Ivy Tech Dr, Madison, IN 47250-1802 | 2006-10-24 |
Find all providers in MADISON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.