Organization
WISCONSIN VISION, LLC
Active
Parent organization
LUXOTTICA OF AMERICA INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUXOTTICA OF AMERICA INC
Authorized official
MR. DARREN THOMAS HORNDASCH (PRESIDENT)
(262) 432-2005
Entity
Organization
Contact information
Practice address
5530 N PORT WASHINGTON RD UNIT C, GLENDALE, WI 53217-4920
(262) 432-2005
(262) 432-2006
Mailing address
16800 W CLEVELAND AVE, NEW BERLIN, WI 53151-3533
(262) 432-2005
(262) 432-2006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65652
SPECTERA PROVIDER NO
—
01
—
68393
DAVIS VISION PROVIDER NO
—
Enumeration date
08/31/2010
Last updated
03/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us