Active NPI
Glenn J. Miner, O.D.
- Corneal and Contact Management Optometrist
- Phoenix, AZ
National Provider Identifier
1649200270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 491
- Practice address
- 1016 N 32ND St
Ste. 2
Phoenix, AZ 85008-5107 - Phone
- (602) 267-7573
- Fax
- (602) 267-7595
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 491 | AZ | |
| Corneal and Contact Management Optometrist | 152WC0802X | 491 | AZ | Primary |
Addresses
Primary practice location
1016 N 32ND St
Ste. 2
Phoenix, AZ 85008-5107
Mailing address
6420 E Lowden Rd
Cave Creek, AZ 85331-6128
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20189547 | Other | AZ | TPIN |
| EGNU52050 | Other | AZ | MPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 491 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lions Vision Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optician
- Phoenix, AZ
- NPI 1770795775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649200270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 E LOWDEN RD",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853316128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 N 32ND ST",
"address_2": "STE. 2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850085107",
"telephone_number": "602-267-7573",
"fax_number": "602-267-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "GLENN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "491",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "AZ",
"license": "491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPIN",
"identifier": "20189547",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPIN",
"identifier": "EGNU52050",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.