Organization Active NPI

Mezu Eye Care

  • Sports Vision Optometrist
  • Pikesville, MD
National Provider Identifier
1689633471
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Vision OptometristTaxonomy code 152WS0006X
License
TA1714 Issued in MD
Legal business name
MEZU EYE CARE
Practice address
1400 Reisterstown Rd
Pikesville Shopping Center
Pikesville, MD 21208-3806
Phone
(410) 602-1567
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Kelechi R Mezu, OD DRPH
Title
Chief Medical Officer
Phone
(410) 602-1567

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TA1714 MD
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X TA1714 MD
Low Vision Rehabilitation OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WL0500X TA1714 MD
Pediatric OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WP0200X TA1714 MD
Sports Vision OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WS0006X TA1714 MD Primary
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WV0400X TA1714 MD
Occupational Vision OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WX0102X TA1714 MD

Addresses

Primary practice location

1400 Reisterstown Rd
Pikesville Shopping Center
Pikesville, MD 21208-3806

Mailing address

1400 Reisterstown Rd
Pikesville Shopping Center
Pikesville, MD 21208-3806
Phone (410) 602-1567

Other identifiers 10

IdentifierTypeStateIssuer
3303001OtherMDAETNA
33606OtherMDAVEISIS PROVIDER NUMBER
210461OtherMDNATIONAL VISION ADMINISTR
F534OtherMDFEDERAL BLUE CROSS
25805OtherMDSPECTERA
4106021567OtherMDVSP IDENTIFIER NUMBER
F534-001OtherMDBLUE CROSS BLUE CHOICE
MD1714OtherMDEYEMED VISION CARE
61279002OtherMDBLUE CROSS BLUE SHIELD
2169OtherMDBALTIMORE CITY VISION PLA

Other names 1

  • Aqua Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1006 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 602-1567

1400 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 602-1567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689633471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 REISTERSTOWN RD",
            "address_2": "PIKESVILLE SHOPPING CENTER",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083806",
            "telephone_number": "410-602-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 REISTERSTOWN RD",
            "address_2": "PIKESVILLE SHOPPING CENTER",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083806",
            "telephone_number": "410-602-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEZU EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MEZU",
        "authorized_official_first_name": "KELECHI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "410-602-1567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD DRPH"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1714",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA1714",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MD",
            "license": "TA1714",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "MD",
            "license": "TA1714",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "MD",
            "license": "TA1714",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MD",
            "license": "TA1714",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "MD",
            "license": "TA1714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3303001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVEISIS PROVIDER NUMBER",
            "identifier": "33606",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "210461",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS",
            "identifier": "F534",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "25805",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP IDENTIFIER NUMBER",
            "identifier": "4106021567",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE CHOICE",
            "identifier": "F534-001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "MD1714",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "61279002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BALTIMORE CITY VISION PLA",
            "identifier": "2169",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aqua Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.