OrganizationActive
Kenosha Family Vision Care LLC
NPI 1679990774 · Optometrist · Kenosha, WI
Kenosha Family Vision Care LLC is a Optometrist organization in Kenosha, WI (NPI 1679990774).
Provider details
- NPI number
- 1679990774
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tristan Begotka, Owner(262) 694-9103
- License
- 3309-35 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4014 77th St
Kenosha, WI 53142-4314
Phone: (262) 694-9103
Fax: (262) 694-9106
Street-level locationGet directions
Mailing address
4014 77th St
Kenosha, WI 53142-4314
Other names (DBA / former)
- Doing business as
- Regner Family Vision Clinic
Registry dates
- Enumerated
- 2014-03-26
- Last updated
- 2014-03-26
Frequently asked questions
- What is Kenosha Family Vision Care LLC's NPI number?
- Kenosha Family Vision Care LLC's National Provider Identifier (NPI) is 1679990774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenosha Family Vision Care LLC?
- Kenosha Family Vision Care LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Kenosha Family Vision Care LLC located?
- Kenosha Family Vision Care LLC's practice location on file with NPPES is 4014 77th St, Kenosha, WI 53142-4314.
- What is Kenosha Family Vision Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Kenosha Family Vision Care LLC is (262) 694-9103.
- Who is the authorized official for Kenosha Family Vision Care LLC?
- The authorized official listed on Kenosha Family Vision Care LLC's NPPES record is Tristan Begotka, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenosha Family Vision Care LLC's NPI active?
- Yes — Kenosha Family Vision Care LLC's NPI (1679990774) is active in the NPPES registry as of the last update on 2014-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.