WISCONSIN VISION, INC. (NPI# 1801934807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801934807 |
| Entity Type | Organization |
| Organization Name | WISCONSIN VISION, INC. |
| Practice Address |
203a Sunset Drive Waukesha WI 53189 |
| Mailing Address |
16800 West Cleveland Ave New Berlin WI 53151-3533 |
| Practice Telephone | 2625241130 |
| Practice Fax Number | 2625241135 |
| Mailing Telephone | 2624322005 |
| Mailing Fax Number | 2624322006 |
| Enumeration Date | 2007-02-02 |
| 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 |
|---|---|---|---|
| DAVIS VISION PROVIDER NO. | 55209 | 01 | |
| SPECTERA PROVIDER NO. | 09304 | 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 |
| 1023324811 | Wisconsin Vision, Inc. | Optometrist | 5530 N Port Washington Rd Unit C, Glendale, WI 53217-4920 | 2010-08-31 |
| 1811029234 | Wisconsin Vision, Inc. | Technician/Technologist | 2005 Silvernail Road, Pewaukee, WI 53072 | 2007-03-12 |
| 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 |
203A SUNSET DRIVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| 1427139542 | Wal-mart Stores East Lp | Technician/Technologist | 2000 Sw Avenue, Waukesha, WI 53189 | 2006-10-17 |
| Find all providers in zip 53189 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427139542 | Wal-mart Stores East Lp | Technician/Technologist | 2000 Sw Avenue, Waukesha, WI 53189 | 2006-10-17 |
| 1366560385 | Medical Eye Associates, S.c. | Technician/Technologist | 1111 Delafield St, Suite 312, Waukesha, WI 53188 | 2007-03-27 |
| 1255469870 | Herslof's Inc | Technician/Technologist | 821 Meadowbrook Rd, Waukesha, WI 53188-7314 | 2007-03-02 |
| 1922103167 | Sam's Club Optical | Technician/Technologist | 600 N Springdale Rd, Waukesha, WI 53186-1815 | 2006-09-13 |
| 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 | ||||
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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.