WISCONSIN VISION, INC. (NPI# 1023324811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023324811 |
Entity Type | Organization |
Organization Name | WISCONSIN VISION, INC. |
Practice Address |
5530 N Port Washington Rd Unit C Glendale WI 53217-4920 |
Mailing Address |
16800 W Cleveland Ave New Berlin WI 53151-3533 |
Practice Telephone | 2624322005 |
Practice Fax Number | 2624322006 |
Mailing Telephone | 2624322005 |
Mailing Fax Number | 2624322006 |
Enumeration Date | 2010-08-31 |
Last Update Date | 2011-08-04 |
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 | 152W00000X | Optometrist | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DAVIS VISION PROVIDER NO | 68393 | 01 | |
SPECTERA PROVIDER NO | 65652 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457890220 | Wisconsin Vision, Inc. | Optometrist | 285 Market St., Suite E-107, Brookfield, WI 53045-3208 | 2017-02-14 |
1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
1811029234 | Wisconsin Vision, Inc. | Technician/Technologist | 2005 Silvernail Road, Pewaukee, WI 53072 | 2007-03-12 |
1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
1477691673 | Wisconsin Vision, Inc. | Technician/Technologist | 5725 75th St, Kenosha, WI 53142-3603 | 2007-02-01 |
1447398649 | Wisconsin Vision, Inc. | Technician/Technologist | 5505 Odana Rd, Madison, WI 53719-1205 | 2007-02-01 |
1962540120 | Wisconsin Vision, Inc. | Technician/Technologist | 12876 W Bluemound Rd, Elm Grove, WI 53122-2605 | 2007-02-01 |
1134179427 | Wisconsin Vision, Inc. | Optometrist | 16800 W Cleveland Ave, New Berlin, WI 53151-3533 | 2006-05-10 |
1396146171 | Wisconsin Vision, Inc. | Optometrist | 301 N Water St, Suite 350, Milwaukee, WI 53202-5710 | 2014-09-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | WISCONSIN VISION, INC. | 16800 W. Cleveland Ave, New Berlin, WI 53151 |
Street Address |
5530 N PORT WASHINGTON RD UNIT C |
City | GLENDALE |
State | WI |
Zip Code | 53217-4920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
Find all providers in zip 53217 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326653528 | Kelsey Harraghy | Optometrist | 7700 W Arrowhead Towne Ctr Ste 1136, Glendale, AZ 85308-0926 | 2020-09-14 |
1205394533 | Ani Grigoryan | Optometrist | 1577 E Chevy Chase Dr Ste 120, Glendale, CA 91206-4193 | 2019-03-05 |
1578041356 | Lilit Javadian | Optometrist | 413 E Glenoaks Blvd Ste B, Glendale, CA 91207-2013 | 2018-08-02 |
1063999027 | Clarissa Orzell | Optometrist | 7700 W Arrowhead Towne Ctr Ste 2130, Glendale, AZ 85308-0929 | 2018-07-23 |
1518443472 | Zachary William Miller | Optometrist | 5707 W Northern Ave Ste 106, Glendale, AZ 85301-1355 | 2018-07-13 |
1568958734 | Dominic Rentz | Optometrist | 14185 W Falcon St, Glendale, AZ 85309-1601 | 2018-07-10 |
1659867901 | Shakeh Bagdassar Eye To Eye Optometry | Optometrist | 1101 N Pacific Ave Ste 105, Glendale, CA 91202-4314 | 2018-07-10 |
1215421573 | Shihchun Tai | Optometrist | 8016 Cooper Ave # 3, Glendale, NY 11385-7741 | 2018-06-20 |
1568977189 | West Point Optical Group | Optometrist | 7870 W Bell Rd, Glendale, AZ 85308-8621 | 2017-12-05 |
1548779952 | Vahe Arutyunyan | Optometrist | 204 E Maple St, Glendale, CA 91205-2110 | 2017-09-28 |
Find all providers in GLENDALE |
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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.