Brooklyn Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BROOKLYN EYE CARE LLC

Practice address

9670 Colorado LN N
Brooklyn Park, MN 55445-2385

Phone

(763) 843-7153

NPI assigned

Feb 10, 2020

Last updated

Feb 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vivian O Ekemezie, O.D

Title

Optometrist

Phone

(763) 843-7153

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1770115636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 FLANDERS ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496289",
            "telephone_number": "763-843-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 COLORADO LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452385",
            "telephone_number": "763-843-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "EKEMEZIE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "763-843-7153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.