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NPI Code Detail

MEDICARE: WISCONSIN VISION, LLC

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
1156FX1800XOptician
2152W00000XOptometrist

General Provider Information

NPI Number : 1447398649
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 : 5505 ODANA RD
Second Line :
City : MADISON
State : WI
Zip : 53719-1205
Country : US
Telephone Number : 608-277-9393
Fax Number : 608-277-8266
Authorized Official
Title or Position : PRESIDENT
Name : MR. DARREN THOMAS HORNDASCH
Credential :
Telephone Number : 262-923-7240
Provider Enumeration Date : 02/01/2007
Last Update Date : 03/02/2026

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Directions to “WISCONSIN VISION, LLC ” Practice Location

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