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	:	1417095696
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	:	1920 W LAYTON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53221-5310
Country	:	US
Telephone Number	:	414-325-8600
Fax Number	:	414-281-5574

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

1790741809 — DR. PAUL R DALECKY O.D.
Practice Location Address:

1920 W LAYTON AVE
MILWAUKEE, WI
53221-5310

Practice Phone: 414-325-8600
Practice Fax:

1295784726 — MCMC RADIOLOGY SERVICES, LLC
Practice Location Address:

5310 W CAPITOL DR
MILWAUKEE, WI
53216-2239

Practice Phone: 414-873-7000
Practice Fax: 414-873-8632

1225081292 — RNA DIALYSIS OF MILWAUKEE
Practice Location Address:

5310 W CAPITOL DR
MILWAUKEE, WI
53216-2239

Practice Phone: 414-447-8592
Practice Fax: 414-447-8591

1669428272 — AMERICAN MOBILE IMAGING, LLC
Practice Location Address:

5310 W CAPITOL DR , SUITE#214
MILWAUKEE, WI
53216-2239

Practice Phone: 414-449-2292
Practice Fax:

1134238017 — MCMC URGICARE LLC
Practice Location Address:

5310 W CAPITOL DR , 101
MILWAUKEE, WI
53216-2263

Practice Phone: 414-431-5004
Practice Fax: 414-431-2959

1568544633 — MCMC PRIMARY CARE LLC
Practice Location Address:

5310 W CAPITOL DR
MILWAUKEE, WI
53216-2263

Practice Phone: 414-431-5004
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.