MEDICARE: WISCONSIN VISION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1144368341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WISCONSIN VISION, LLC

Provider Business Mailing Address
First Line	:	16800 W CLEVELAND AVE
Second Line	:
City	:	NEW BERLIN
State	:	WI
Zip	:	53151-3533
Country	:	US
Telephone Number	:	262-432-2005
Fax Number	:	262-432-2006

Provider Business Practice Location Address
First Line	:	459 W JOHNSON ST
Second Line	:
City	:	FOND DU LAC
State	:	WI
Zip	:	54935-3170
Country	:	US
Telephone Number	:	920-922-5990
Fax Number	:	920-922-7482

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DARREN THOMAS HORNDASCH
Credential	:
Telephone Number	:	262-432-2005

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	03/02/2026

Similar Medicare Providers

1992762835 — DR. NICOLE L AMIDON O.D.
Practice Location Address:

459 W JOHNSON ST
FOND DU LAC, WI
54935-3170

Practice Phone: 920-922-5990
Practice Fax:

1184388878 — JONATHAN THOMAS
Practice Location Address:

727 W JOHNSON ST
FOND DU LAC, WI
54935-2015

Practice Phone: 920-581-0111
Practice Fax:

1164403226 — MICHAEL W JONES MD
Practice Location Address:

480 E DIVISION ST
FOND DU LAC, WI
54935-3734

Practice Phone: 920-926-4100
Practice Fax:

1144375825 — DR. STEVEN GREGORY MERESS MD
Practice Location Address:

180 KNIGHTS WAY
FOND DU LAC, WI
54935-8080

Practice Phone: 920-922-5433
Practice Fax: 920-273-0480

1528062452 — DR. KENNETH J SCHOLZ DDS
Practice Location Address:

355 N PETERS AVE
FOND DU LAC, WI
54935-8258

Practice Phone: 920-921-0440
Practice Fax: 920-921-0491

1518961390 — DR. STEPHEN P FORSYTH DMD
Practice Location Address:

545 E JOHNSON ST
FOND DU LAC, WI
54935-2856

Practice Phone: 920-924-9090
Practice Fax:

Directions to “WISCONSIN VISION, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.