DR. VIVIAN OWANIMEDU EKEMEZIE O.D
NPI 1194070490
Optometrist in Minneapolis, MN

Q: What is Vivian Ekemezie's NPI number?

The NPI number for Vivian Ekemezie is 1194070490. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Q: What is Vivian Ekemezie's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Ekemezie was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2012PECOS EnrolledAccepts Medicare Assignment

825 NICOLLET MALL, MINNEAPOLIS, MN 55402(612) 338-4861(612) 333-8306 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Vivian Owanimedu Ekemezie O.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIVIAN OWANIMEDU EKEMEZIE O.D (NPI 1194070490) is an individual optometrist in Minneapolis, Minnesota, licensed in Minnesota (3311) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2012).

NPPES Registry Identity

NPI1194070490

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. VIVIAN OWANIMEDU EKEMEZIECredential: O.D

Location Address825 NICOLLET MALLMinneapolis, MN 55402-2606

Mailing Address9113 Ashley TerBrooklyn Park, MN 55443-1714

Phone(612) 338-4861

Fax(612) 333-8306

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2012

Enumeration DateJuly 23, 2012

Last NPPES UpdateMarch 14, 2025

NPPES CertifiedMarch 14, 2025

✔ NPI 1194070490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MN · 3311

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

825 NICOLLET MALL, Minneapolis, MN 55402

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Other Identifiers 2

OtherH400663114MN · Medicare Ptan

Other410003852MN · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vivian Owanimedu Ekemezie O.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749434793

PECOS Enrollment IDI20130129000372

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIRGINIA ANNE MCDERMOTT PH.D.

Psychologist

825 NICOLLET MALL, SUITE 1630
MINNEAPOLIS, MN 55402

Hennepin County (612) 673-9988

SKIN SPECIALISTS, LTD.

Dermatology

825 NICOLLET MALL, SUITE 1002
MINNEAPOLIS, MN 55402

Hennepin County (612) 338-0711

DR. GARY M FINE

Dentist

825 NICOLLET MALL
MINNEAPOLIS, MN 55402

Hennepin County (612) 332-1336

BIRCHWOOD DENTAL OF MINNEAPOLIS

Dentist (General Practice)

825 NICOLLET MALL, 829 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402

Hennepin County (612) 333-8677

DOWNTOWN SKYWAY FOOT SPECIALISTS INC

Podiatrist (Foot Surgery)

825 NICOLLET MALL, SUITE 517 MEDICAL ARTS BLDG
MINNEAPOLIS, MN 55402

Hennepin County (612) 332-7720

ADVANCED FOOT CARE CLINIC,LTD

Podiatrist

825 NICOLLET MALL, SUITE 601
MINNEAPOLIS, MN 55402

Hennepin County (763) 550-1013

MARK ALAN JOHNSON D.C.

Chiropractor

825 NICOLLET MALL, STE 1845
MINNEAPOLIS, MN 55402

Hennepin County (612) 332-8292

PAIN & INJURY CENTER PLLC

Physical Medicine & Rehabilitation (Pain Medicine)

825 NICOLLET MALL, SUITE #1453
MINNEAPOLIS, MN 55402

Hennepin County (612) 886-1562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Ekemezie's NPI number?

The NPI number for Vivian Ekemezie is 1194070490. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Where is Vivian Ekemezie located?

Vivian Ekemezie practices at 825 Nicollet Mall, Minneapolis, MN 55402. The listed phone number is (612) 338-4861.

What is Vivian Ekemezie's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Vivian Ekemezie enrolled in Medicare?

Yes. Vivian Ekemezie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vivian Ekemezie accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Vivian Ekemezie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivian Ekemezie was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.