Individual provider Active NPI

Vicki Sue Luehmann, O.D.

  • Optometrist
  • Maple Grove, MN
National Provider Identifier
1942399456
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2848 Issued in MN
Practice address
13195 Weaver Lake Rd
Maple Grove, MN 55369-9410
Phone
(763) 420-5112
Fax
(763) 420-6957
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Vision Optometrist 152WS0006X 2848 MN
Occupational Vision Optometrist 152WX0102X 2848 MN
Corneal and Contact Management Optometrist 152WC0802X 2848 MN
Pediatric Optometrist 152WP0200X 2848 MN
Optometrist 152W00000X 2848 MN Primary

Addresses

Primary practice location

13195 Weaver Lake Rd
Maple Grove, MN 55369-9410

Mailing address

13195 Weaver Lake Rd
Maple Grove, MN 55369-9410
Phone (763) 420-5112

Other names 1

  • Dr. Vicki Sue Borowicz Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071116000195 MN Practitioner - Optometry 4385732130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Brokea Inc.Group PAC ID 9537328075, 8 clinicians

Practice addresses (Care Compare)

13195 Weaver Lake Rd
Maple Grove, MN 55369-9410
Phone (763) 420-5112

Merit-based Incentive Payment System (MIPS)

Final score
86.97 of 100Reported as group
Quality
84.94
Improvement activities
40
Cost
76.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2848000MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Eye Care Inc Optometrist CurrentSince Dec 15, 2020 Accepting new patients
Brokea Inc. Optometrist CurrentSince Dec 1, 2025 Accepting new patients

Locations

741 Enterprise Dr E
Belle Plaine, MN 56011
Phone (952) 495-6070

1200 Chaska Creek Way
Ste 110
Chaska, MN 55318
Phone (320) 587-6308

1201 Greeley Ave N
Ste 3
Glencoe, MN 55336
Phone (320) 864-2020

1455 Montreal St SE
Hutchinson, MN 55350
Phone (320) 587-6305

223 1st St E
Ste 101
Jordan, MN 55352
Phone (952) 492-2350

13195 Weaver Lake Rd
Maple Grove, MN 55369
Phone (763) 420-5112

209 Chalupsky Ave SE
New Prague, MN 56071
Phone (952) 758-7337

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1942399456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 WEAVER LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553699410",
            "telephone_number": "763-420-5112",
            "fax_number": "763-420-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13195 WEAVER LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553699410",
            "telephone_number": "763-420-5112",
            "fax_number": "763-420-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEHMANN",
        "first_name": "VICKI",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MN",
            "license": "2848",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MN",
            "license": "2848",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MN",
            "license": "2848",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MN",
            "license": "2848",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "BOROWICZ",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.