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General NPI Number Information
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NPI Number | 1801934807
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Entity Type | Organization
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Legal Business Name | WISCONSIN VISION, LLC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 116 E SUNSET DR SUITE 100
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City | WAUKESHA
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State | WI
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Zip | 53189
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Country | US
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Telephone | 262-524-1130
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Fax | 262-524-1135
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Provider Business Mailing Address
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Address Line | 16800 W CLEVELAND AVE
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City | NEW BERLIN
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State | WI
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Zip | 53151-3533
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Country | US
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Telephone | 262-432-2005
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Fax | 262-432-2006
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DARREN THOMAS HORNDASCH
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Credential |
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Telephone | 262-432-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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