WISCONSIN VISION, INC (NPI# 1245378348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245378348 |
Entity Type | Organization |
Organization Name | WISCONSIN VISION, INC |
Other Organization Name | HEARTLAND VISION |
Practice Address |
1551 E Stop 12 Rd Indianapolis IN 46227-1006 |
Mailing Address |
16800 West Cleveland Ave New Berlin WI 53151-3533 |
Practice Telephone | 3178834970 |
Practice Fax Number | 3178834971 |
Mailing Telephone | 2624322005 |
Mailing Fax Number | 2624322006 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2008-05-22 |
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. | 40820 | 01 | |
SPECTERA PROVIDER NO. | 09214 | 01 |
Other Name | Type Code |
---|---|
Heartland Vision | Doing Business As Name - Organization |
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 |
1551 E STOP 12 RD |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46227-1006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427064385 | Roger W Wilson | Optometrist | 1551 E Stop 12 Rd, Indianapolis, IN 46227-1006 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
Find all providers in zip 46227 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457650335 | Brownell Norman Payne Jr. | Technician/Technologist | 1537 Greer Dell Rd, Indianapolis, IN 46260-4427 | 2011-03-18 |
1598899833 | James Jay Thompson | Technician/Technologist | 2436 Lake Circle Dr, Indianapolis, IN 46268-4219 | 2007-03-16 |
1578697165 | Smith Bridenstine Opticians | Technician/Technologist | 3950 E 82nd St, Indianapolis, IN 46240-2467 | 2007-03-15 |
1194865337 | Southside Eye Associates | Technician/Technologist | 6423 S East St, Indianapolis, IN 46227-2100 | 2007-02-07 |
1922151471 | Larry Ray Williams | Technician/Technologist | 7615 Crawfordsville Rd, Indianapolis, IN 46214-1703 | 2007-01-19 |
1619352150 | National Vision, Inc. | Technician/Technologist | 4200 S East St, Indianapolis, IN 46227-1534 | 2015-07-27 |
1902206774 | Usv Optical Inc. | Technician/Technologist | 11351 E Washington St, Indianapolis, IN 46229-3101 | 2014-08-29 |
1154403277 | Wal-mart Stores East, Lp | Technician/Technologist | 4650 S Emerson Ave, Indianapolis, IN 46203-5932 | 2006-10-19 |
1194807396 | Wal-mart Stores East, Lp | Technician/Technologist | 3221 W 86th St, Indianapolis, IN 46268-3606 | 2006-10-19 |
1033291158 | Wal-mart Stores East, Lp | Technician/Technologist | 10617 E Washington St, Indianapolis, IN 46229-2611 | 2006-10-19 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46227 |
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.