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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1396146171
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	:	301 N WATER ST
Second Line	:	SUITE 350
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-5710
Country	:	US
Telephone Number	:	414-539-3524
Fax Number	:	262-923-7607

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

Provider Enumeration Date	:	09/11/2014
Last Update Date	:	03/02/2026

Similar Medicare Providers

1316517931 — LANINA SINGH
Practice Location Address:

4825 N 20TH ST
MILWAUKEE, WI
53209-5710

Practice Phone: 414-252-9448
Practice Fax:

1528630415 — HEART TO HEARTS
Practice Location Address:

4825 N 20TH ST
MILWAUKEE, WI
53209-5710

Practice Phone: 414-252-9448
Practice Fax:

1053070250 — DEILILIAH WIMBERLY
Practice Location Address:

4260 S RAVINIA DR APT 204
MILWAUKEE, WI
53221-5710

Practice Phone: 414-430-6929
Practice Fax: 414-763-6598

1447105978 — SCOTT FITZGERALD FERGUSON SR.
Practice Location Address:

777 N JEFFERSON ST STE 408
MILWAUKEE, WI
53202-3875

Practice Phone: 414-208-0680
Practice Fax:

1700581048 — ALIMATOU TRAORE DNP-FNP
Practice Location Address:

302 N JACKSON ST
MILWAUKEE, WI
53202-5904

Practice Phone: 844-493-1052
Practice Fax:

1891659843 — MADISON RAITH RD
Practice Location Address:

731 N WATER ST STE M100
MILWAUKEE, WI
53202-4101

Practice Phone: 919-213-0504
Practice Fax: 919-981-9213

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.