WISCONSIN VISION, INC


Address: 7528 W Burleigh St, Milwaukee, WI 53210-1030
Phone: 4148739090

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
SPECTERA PROVIDER NO. 09295 01
DAVIS VISION PROVIDER NO. 58026 01

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities WISCONSIN VISION, INC. 16800 W. Cleveland Ave, New Berlin, WI 53151

Office Location

Street Address 7528 W BURLEIGH ST
City MILWAUKEE
State WI
Zip Code 53210-1030

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1447625264 Kimberly Beckham Registered Nurse 3040 N 40th Street, Milwaukee, WI 53210 2015-12-04
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1346633112 Quiana Davis Licensed Practical Nurse 2478 North 34th Street, Milwaukee, WI 53210 2015-03-18
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MILWAUKEE
Zip Code 53210

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Dataset Information

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.

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