Healthcare Provider Details

I. General information

NPI: 1548196801
Provider Name (Legal Business Name): VISION SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17495 W CAPITOL DR STE D
BROOKFIELD WI
53045-2059
US

IV. Provider business mailing address

17495 W CAPITOL DR STE D
BROOKFIELD WI
53045-2059
US

V. Phone/Fax

Practice location:
  • Phone: 262-797-9638
  • Fax: 262-797-9648
Mailing address:
  • Phone: 262-797-9638
  • Fax: 262-797-9648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILLIP ROY
Title or Position: OPTOMETRIST / PRESIDENT
Credential: OD
Phone: 414-801-5323