Active NPI
Mezu Eye Care
- Sports Vision Optometrist
- Pikesville, MD
National Provider Identifier
1689633471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Vision Optometrist
- License
- TA1714
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1714 | MD | |
| Corneal and Contact Management Optometrist | 152WC0802X | TA1714 | MD | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | TA1714 | MD | |
| Pediatric Optometrist | 152WP0200X | TA1714 | MD | |
| Sports Vision Optometrist | 152WS0006X | TA1714 | MD | Primary |
| Vision Therapy Optometrist | 152WV0400X | TA1714 | MD | |
| Occupational Vision Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3303001 | Other | MD | AETNA |
| 33606 | Other | MD | AVEISIS PROVIDER NUMBER |
| 210461 | Other | MD | NATIONAL VISION ADMINISTR |
| F534 | Other | MD | FEDERAL BLUE CROSS |
| 25805 | Other | MD | SPECTERA |
| 4106021567 | Other | MD | VSP IDENTIFIER NUMBER |
| F534-001 | Other | MD | BLUE CROSS BLUE CHOICE |
| MD1714 | Other | MD | EYEMED VISION CARE |
| 61279002 | Other | MD | BLUE CROSS BLUE SHIELD |
| 2169 | Other | MD | BALTIMORE CITY VISION PLA |
Other names 1
- Aqua Vision Center
National Provider Directory
National Provider DirectoryLocations
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.
-
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- Fitchburg, WI
- NPI 1821057647
Optometrist
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.