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Contact Information

WISCONSIN VISION, LLC
4163 N OAKLAND AVE
SHOREWOOD, WI53211
 Phone: 414-455-8131
 Fax: 262-923-7606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for WISCONSIN VISION, LLC

NPI Number 1700325602
LBN Legal business name WISCONSIN VISION, LLC
Authorized official DARREN HORNDASCH - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/13/2017
Last updated 03/02/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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