Mindy Marie Hagstrom, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-001720 Issued in AZ

Practice address

3635 E Inverness Ave Ste 107
Mesa, AZ 85206-3848

Phone

(480) 372-8950

Fax

(480) 835-1222

NPI assigned

Apr 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mindy Marie Anderson Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Washington PLLCGroup PAC ID 4486186657, 50 clinicians

Frank M Akers II O D PCGroup PAC ID 3274610480, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1053156729

  AZ, Optometrist

  Medicare reassignment Care Compare group NPD (past)
• Frank M Akers II O D PC

  • Optometrist
  • Mesa, AZ
  • NPI 1598937542

  AZ

  Medicare reassignment Care Compare group
• Paul Wagner OD PLC

  • Optometrist
  • Chandler, AZ
  • NPI 1912218405

  AZ

  Medicare reassignment
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Bountiful, UT
  • NPI 1174404024
  Care Compare group
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Mesa, AZ
  • NPI 1144174749
  NPD (past)
• Riviera Opticare Inc.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1629261854
  NPD (past)
• Riviera Opticare Inc.

  • Optometrist
  • Mesa, AZ
  • NPI 1972796100
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1669799664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 E INVERNESS AVE STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063848",
            "telephone_number": "480-372-8950",
            "fax_number": "480-835-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 E Southern Ave Ste 1508",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852063724",
            "country_code": "US",
            "telephone_number": "809-643-5424",
            "fax_number": "480-240-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGSTROM",
        "first_name": "MINDY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-001720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "ANDERSON",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Landon Hageman, PHARMD
• Heidi J Hagen, PTA
• David Reza Hager
• Jenna Haggerty, PT, DPT
• Dakota Hagood, RBT
• Alyssa Michelle Hague, RN, BSN
• Taryn Michelle Haight
• Timothy Haines, LPC
• Cheryl Haist
• Luke J Halbur, MD

• All providers in Mesa, AZ
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.