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Aqua Vision Care, LLC

Optometrist in Pikesville, MD · enumerated 2013 · authorized official Kelechi Mezu, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093057226

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Registry record

Entity type Organization (Type 2)
Legal business name Aqua Vision Care, LLC
Practice address 1006 Reisterstown Rd, Pikesville, MD, 21208
Phone (410) 602-1567
Fax (410) 602-1568
Enumeration date Mar 26, 2013
Last updated in NPPES Mar 26, 2013

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License TA1714 (MD) Primary
152WC0802X Corneal and Contact Management Optometrist Eye and Vision Services Providers · License TA1714 (MD) Secondary
152WL0500X Low Vision Rehabilitation Optometrist Eye and Vision Services Providers · License TA1714 (MD) Secondary
152WP0200X Pediatric Optometrist Eye and Vision Services Providers · License TA1714 (MD) Secondary
152WS0006X Sports Vision Optometrist Eye and Vision Services Providers · License TA1714 (MD) Secondary
152WV0400X Vision Therapy Optometrist Eye and Vision Services Providers · License TA1714 (MD) Secondary
152WX0102X Occupational Vision Optometrist Eye and Vision Services Providers · License TA1714 (MD) Secondary

Authorized official

Name Kelechi Mezu
Title Director
Phone (410) 602-1567

Other identifiers

Identifier Type State Issuer
550003600 Medicaid MD -
MD1714 Other MD EYEMED VISION CARE
33606 Other MD AVEISIS PROVIDER NUMBER
210461 Other MD NATIONAL VISION ADMINISTR
3303001 Other MD AETNA
4106021567 Other MD VSP IDENTIFIER NUMBER
F534-001 Other MD BLUE CROSS BLUE CHOICE
2169 Other MD BALTIMORE CITY VISION PLA
61279002 Other MD BLUE CROSS BLUE SHIELD
F534 Other MD FEDERAL BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Aqua Vision Care, LLC?
Aqua Vision Care, LLC is registered in NPPES as a Optometrist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-26.