Active NPI
Wisconsin Vision, Inc.
- Optometrist
- Indianapolis, IN
National Provider Identifier
1497155915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WISCONSIN VISION, INC.
- Doing business as
- Heartland Vision
- Practice address
- 2320 1/2 S Tibbs Ave
Indianapolis, IN 46241-4803 - Phone
- (262) 432-2005
- Fax
- (262) 432-2006
- NPI assigned
- Sep 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darren Thomas Horndasch
- Title
- President/Ceo
- Phone
- (262) 432-2005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2320 1/2 S Tibbs Ave
Indianapolis, IN 46241-4803
Mailing address
16800 W Cleveland Ave
New Berlin, WI 53151-3533
Phone (262) 432-2005
Other names 1
- Heartland Vision
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1497155915",
"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",
"telephone_number": "262-432-2005",
"fax_number": "262-432-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 1/2 S TIBBS AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462414803",
"telephone_number": "262-432-2005",
"fax_number": "262-432-2006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISCONSIN VISION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-03",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "HORNDASCH",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "262-432-2005",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Vision",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Heartland Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.