Active NPI
Wisconsin Vision, LLC
- Optometrist
- Sheboygan, WI
National Provider Identifier
1750429858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WISCONSIN VISION, LLC
- Practice address
- 2229 S Memorial PL
Sheboygan, WI 53081-3715 - Phone
- (920) 458-9301
- Fax
- (920) 458-9302
- NPI assigned
- Feb 1, 2007
- Last updated
- Mar 2, 2026
- Organization subpart
- Yes
- Parent organization
- LUXOTTICA OF AMERICA INC
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
- Phone
- (262) 432-2005
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary | |
| Optician | 156FX1800X | NU |
Addresses
Primary practice location
2229 S Memorial PL
Sheboygan, WI 53081-3715
Mailing address
16800 W Cleveland Ave
New Berlin, WI 53151-3533
Phone (262) 432-2005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20100930018951 | WI | DME Supplier - Physician - Optometrist | 5698676518 | Practice locations: Sheboygan, WI |
Other NPIs on the same Medicare enrollment 26
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Heartland Vision
- Optometrist
- New Berlin, WI
- NPI 1134179427
O20040220000706
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.
-
dba LensCrafters Optique at Macy's #1691
- Eyewear Supplier
- Scottsdale, AZ
- NPI 1952455289
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772409600000",
"number": "1750429858",
"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": "2229 S MEMORIAL PL",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813715",
"telephone_number": "920-458-9301",
"fax_number": "920-458-9302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISCONSIN VISION, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LUXOTTICA OF AMERICA INC",
"enumeration_date": "2007-02-01",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A",
"authorized_official_last_name": "HORNDASCH",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "262-432-2005",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
- Wisconsin Endodontics SC (Endodontic Specialists of Wisconsin - Sheboygan)
- Wisconsin Prosthetics & Orthotics Inc (NovaCare Prosthetics & Orthotics)
- Wisconsin Spine and Pain SC
- Wisconsin Spine and Pain SC
- Wisconsin Spine Center, SC
- Natalie Wojtczak
- Marla Z Wolfert, M.D.
- Steven Lee Wolfington, DPM
- Debra A Wollert, NP
- Robert L Wood, R.PH.
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.