NPIMap

Organization Active NPI

Wisconsin Vision, LLC

  • Optometrist
  • Brookfield, WI
National Provider Identifier
1457890220
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WISCONSIN VISION, LLC
Practice address
20205 Union St
Brookfield, WI 53045-3208
Phone
(262) 785-9393
Fax
(262) 923-7627
NPI assigned
Feb 14, 2017
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LUXOTTICA OF AMERICA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darren Horndasch
Title
President
Phone
(262) 432-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

20205 Union St
Brookfield, WI 53045-3208

Mailing address

16800 W Cleveland Ave
New Berlin, WI 53151-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040220000706 WI Part B Supplier - Clinic/Group Practice 5698676518 Receives reassigned benefits from 65 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Menomonee Falls, WI; West Allis, WI; Milwaukee, WI; Mount Pleasant, WI; Oshkosh, WI; Pewaukee, WI; Racine, WI; Sheboygan, WI…
O20170929002895 WI DME Supplier - Physician - Optometrist 5698676518 Practice locations: Brookfield, WI

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory
Part of
David Cavender OD

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 26)

2524 W Farrelly Ave
Peoria, IL 61615
Phone (309) 681-4679

280 N Phelps Ave
Unit A
Rockford, IL 61108
Phone (815) 986-1900

9655 E US Highway 36
Ste E
Avon, IN 46123
Phone (317) 243-5423

3812 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-1998

3972 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-1998

1203 W Alto Rd
Kokomo, IN 46902
Phone (765) 455-1644

351 N Casaloma Dr
Appleton, WI 54913
Phone (920) 749-1101

20205 Union St
Brookfield, WI 53045
Phone (262) 785-9393

285 N Market St
Ste E107
Brookfield, WI 53045
Phone (262) 785-9393

459 W Johnson St
Fond du Lac, WI 54935
Phone (920) 922-5990

1546 W Mason St
Green Bay, WI 54303
Phone (920) 490-9860

4818 S 76th St
Ste 1
Greenfield, WI 53220
Phone (414) 431-0385

1837 Lafayette St
Janesville, WI 53546
Phone (608) 756-0728

5725 75th St
Kenosha, WI 53142
Phone (262) 694-5553

2612 E Washington Ave
Madison, WI 53704
Phone (608) 249-5100

5505 Odana Rd
Madison, WI 53719
Phone (608) 277-9393

6310 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 778-5360

6035 Durand Ave
Mount Pleasant, WI 53406
Phone (262) 270-6933

1510 S Koeller St
Oshkosh, WI 54902
Phone (920) 235-7789

1921 Silvernail Rd
#D
Pewaukee, WI 53072
Phone (262) 436-0884

3905 Douglas Ave
Racine, WI 53402
Phone (262) 639-5360

2223 S Memorial Pl
Sheboygan, WI 53081
Phone (920) 452-0213

149 E Sunset Dr
Waukesha, WI 53189
Phone (262) 524-1130

1401 S 108th St
West Allis, WI 53214
Phone (414) 476-0200

2262 S 108th St
West Allis, WI 53227
Phone (414) 476-0200

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 90

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1457890220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 W CLEVELAND AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20205 UNION ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530453208",
            "telephone_number": "262-785-9393",
            "fax_number": "262-923-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN VISION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUXOTTICA OF AMERICA INC",
        "enumeration_date": "2017-02-14",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "HORNDASCH",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-432-2005"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.