WISCONSIN VISION, INC (NPI# 1982742177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982742177 |
| Entity Type | Organization |
| Organization Name | WISCONSIN VISION, INC |
| Practice Address |
N85w16033 Appleton Ave Menomonee Falls WI 53051-3088 |
| Mailing Address |
16800 West Cleveland Ave West Allis WI 53151-3533 |
| Practice Telephone | 2622511900 |
| Practice Fax Number | 2622518350 |
| 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. | 09301 | 01 | |
| DAVIS VISION PROVIDER NO. | 42467 | 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | WISCONSIN VISION, INC. | 16800 W. Cleveland Ave, New Berlin, WI 53151 |
| Street Address |
N85W16033 APPLETON AVE |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-3088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235194465 | Robert A Mathaus | Optometrist | N85w16033 Appleton Ave, Menomonee Falls, WI 53051-3088 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295864775 | Herslof's, Inc | Technician/Technologist | W176n9328 River Crest Dr, Menomonee Falls, WI 53051-8025 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782986 | Penny S Zaworski | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-10-25 |
| 1326518002 | Robert Bailen | Technician/Technologist | 207 2nd Ave W, Ashland, WI 54806-1605 | 2018-11-26 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1568835544 | Jolanda Burnett | Technician/Technologist | 1645 N Central Ave, Marshfield, WI 54449-1550 | 2015-11-12 |
| 1467865857 | America's Best Contacts & Eyeglasses | Technician/Technologist | 9074 N Green Bay Rd, Brown Deer, WI 53209-1205 | 2014-06-04 |
| 1376882613 | Design Vision, Inc. | Technician/Technologist | 8720 W North Ave, Wauwatosa, WI 53226-2724 | 2013-02-06 |
| 1518259407 | Faces Eyewear, Inc | Technician/Technologist | 10 E College Ave, Appleton, WI 54911-5756 | 2011-05-10 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1285953794 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8661 S Howell Ave Ste 200, Oak Creek, WI 53154-2919 | 2010-05-24 |
| 1053553453 | Lisa Cuda Mccarron | Technician/Technologist | 5500 E Cheryl Pkwy, Suite 103, Fitchburg, WI 53711-5336 | 2009-03-31 |
| Find all providers with the same taxonomy | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
Please comment or provide details below to improve the information on WISCONSIN VISION, INC.
| 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.