Wisconsin Vision, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WISCONSIN VISION, INC

Doing business as

Heartland Vision

Practice address

3972 W Jefferson Blvd
Fort Wayne, IN 46804-6812

Phone

(260) 434-1998

Fax

(260) 436-6455

NPI assigned

Feb 1, 2007

Organization subpart

No

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 2

Addresses

Other names 1

• Heartland Vision Doing business as

Member of 1

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

• Luxottica Retail North America Inc

  • Eyewear Supplier
  • Cedar Hill, TX
  • NPI 1154473619

  Member Of

  NPD member

Practitioners 2

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

• Frank Robinson Jr., O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1043223423
  NPD
• Brian Charles Swift, O.D.

  • Optometrist
  • Lebanon, IN
  • NPI 1003934118
  NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1639217730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 WEST 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": "3972 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046812",
            "telephone_number": "260-434-1998",
            "fax_number": "260-436-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "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
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua M Winters, MD
• Jon N Winther, MD
• Shelli Y Winther, NP
• Sydney Winther, RDN, LD
• Allison Morgan Wintin
• Wise Choices, Inc
• Kristina Wise
• Marguerite Kay Wise, MS
• Patrick Joseph Wise, DO
• Sondra Ann Wise, 17001471A

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• 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.

Verify at the official NPI Registry.