Active NPI
Vicki Sue Luehmann, O.D.
- Optometrist
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2848
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Quality
- 84.94
- Improvement activities
- 40
- Cost
- 76.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2848000 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Eye Care Inc | Optometrist | Current | Accepting new patients |
| Brokea Inc. | Optometrist | Current | 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.
-
- Optometrist
- Maple Grove, MN
- NPI 1346453735
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.