Vivian Owanimedu Ekemezie, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

3311 Issued in MN

Practice address

825 Nicollet Mall
Minneapolis, MN 55402-2606

Phone

(612) 338-4861

Fax

(612) 333-8306

NPI assigned

Jul 23, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates PAGroup PAC ID 8729000435, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vekemezie@eyecareassoc.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Care Associates PA

  • Ophthalmology Physician
  • Minneapolis, MN
  • NPI 1205943214
  Medicare reassignment Care Compare group NPD
• Vivian Ekemezie, O.D

  • Optometrist
  • Cambridge, MN
  • NPI 1790029742
  NPD (past) Authorized official
• Eye Care Associates PA

  • Ophthalmology Physician
  • Minneapolis, MN
  • NPI 1710906979
  NPD
• Eye Care Associates, PA

  • Ophthalmology Physician
  • Minneapolis, MN
  • NPI 1194290486
  NPD

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1194070490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 ASHLEY TER",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-338-4861",
            "fax_number": "612-333-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEMEZIE",
        "first_name": "VIVIAN",
        "middle_name": "OWANIMEDU",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H400663114",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "410003852",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie L Eiter, PA-C
• Eiynck Inc
• August Michael Eiynck
• Ej Haven LLC
• Maryloveline Chinwedu Ejiofor
• Rebecca Danielle Ekern, OTR/L
• Nancy Ellen Ekgren, D.D.S.
• Hamed Ekhtiari, MD, PHD
• Georges Doh Eklou, REGISTERED NURSE
• Anne Felicita Ekobena, PHARMD

• Optometrist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.