NPIMap

Organization Active NPI

Wisconsin Vision, LLC

  • Optometrist
  • Waukesha, WI
National Provider Identifier
1801934807
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
116 E Sunset Dr
Suite 100
Waukesha, WI 53189
Phone
(262) 524-1130
Fax
(262) 524-1135
NPI assigned
Feb 2, 2007
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
Mr. Darren Thomas Horndasch
Title
President
Phone
(262) 432-2005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Optician 156FX1800X NU

Addresses

Primary practice location

116 E Sunset Dr
Suite 100
Waukesha, WI 53189

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 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…
O20100930089682 WI DME Supplier - Physician - OptometristDME Supplier - Optician 5698676518 Practice locations: Waukesha, 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

16800 W Cleveland Ave
New Berlin, WI 53151
Phone (262) 432-2005

116 E Sunset Dr
Ste 100
Waukesha, WI 53189
Phone (262) 524-1130

203 Sunset Dr
#A
Waukesha, WI 53189

Practitioners & affiliated clinicians

Practitioners 142

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 142

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1801934807",
    "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": "116 E SUNSET DR",
            "address_2": "SUITE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53189",
            "telephone_number": "262-524-1130",
            "fax_number": "262-524-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN VISION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUXOTTICA OF AMERICA INC",
        "enumeration_date": "2007-02-02",
        "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 Waukesha, 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.