Organization Active NPI

Vision Forward Association, Inc.

  • Low Vision Rehabilitation Optometrist
  • West Allis, WI
National Provider Identifier
1104913664
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
VISION FORWARD ASSOCIATION, INC.
Practice address
10150 W National Ave Ste 100
West Allis, WI 53227-2160
Phone
(414) 615-0105
Fax
(414) 238-2261
NPI assigned
Oct 6, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Terri Davis
Title
Interim Executive Director
Phone
(414) 615-0100

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019000205 WI Part B Supplier - Clinic/Group Practice 4587631817 Receives reassigned benefits from 4 practitioners
Practice locations: West Allis, WI

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X Primary

Addresses

NPPES NPI Registry

Primary practice location

10150 W National Ave Ste 100
West Allis, WI 53227-2160

Mailing address

10150 W National Ave Ste 100
West Allis, WI 53227-2160
Phone (414) 615-0105

Other names 1

NPPES NPI Registry
  • Badger Assn Of The Blind & Visually Impaired Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2025.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1104913664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE STE 100",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272160",
            "telephone_number": "414-615-0105",
            "fax_number": "414-238-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE STE 100",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272160",
            "telephone_number": "414-615-0105",
            "fax_number": "414-238-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION FORWARD ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-615-0100"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Badger Assn Of The Blind & Visually Impaired",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.