WISCONSIN VISION, INC (NPI# 1538207717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538207717 |
Entity Type | Organization |
Organization Name | WISCONSIN VISION, INC |
Practice Address |
7528 W Burleigh St Milwaukee WI 53210-1030 |
Mailing Address |
16800 West Cleveland Ave New Berlin WI 53151-3533 |
Practice Telephone | 4148739090 |
Practice Fax Number | 4148739091 |
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 |
---|---|---|---|
SPECTERA PROVIDER NO. | 09295 | 01 | |
DAVIS VISION PROVIDER NO. | 58026 | 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 |
1235277427 | Wisconsin Vision, Inc | Technician/Technologist | 4818 S 76th St Ste 1, Greenfield, WI 53220-4362 | 2007-02-01 |
1518005719 | Wisconsin Vision, Inc | Technician/Technologist | 2612 E Washington Ave, Madison, WI 53704-5026 | 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 |
7528 W BURLEIGH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53210-1030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
Find all providers in zip 53210 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336782986 | Penny S Zaworski | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-10-25 |
1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
1649464124 | Everette Bronze Quinton | Technician/Technologist | 1568 N Farwell Ave, Milwaukee, WI 53202-2366 | 2007-08-28 |
1184753352 | Vision Mart, Inc | Technician/Technologist | 2110 E Oklahoma Ave, Milwaukee, WI 53207-2922 | 2007-03-05 |
1457417586 | Robert Lynn Martellaro | Technician/Technologist | 9211 W Center St, Milwaukee, WI 53222-4516 | 2007-01-01 |
1114008109 | Wal-mart Stores East, Lp | Technician/Technologist | 8700 N Servite Dr, Milwaukee, WI 53223-2516 | 2006-10-18 |
1770664864 | Wal-mart Stores East, Lp | Technician/Technologist | 5825 W. Hope Avenue, Milwaukee, WI 53216 | 2006-10-17 |
1790880920 | Sam's Club Optical | Technician/Technologist | 7701 W Calumet Rd, Milwaukee, WI 53223-3907 | 2006-09-13 |
1336788942 | Timothy Moss | Technician/Technologist | 1568 N Farwell Ave, Milwaukee, WI 53202-2639 | 2019-12-30 |
1326683996 | Quality Optical LLC | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-11-07 |
Find all providers in MILWAUKEE |
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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.