Individual provider Active NPI

William Miyoshi, OD

  • Optometrist
  • Eagan, MN
National Provider Identifier
1851911986
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3709 Issued in MN
Practice address
995 Blue Gentian Rd
Eagan, MN 55121-1542
Phone
(612) 439-8075
NPI assigned
Apr 18, 2020
Reactivated
May 1, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3709 MN Primary

Addresses

Primary practice location

995 Blue Gentian Rd
Eagan, MN 55121-1542

Mailing address

995 Blue Gentian Rd
Eagan, MN 55121-1542
Phone (612) 439-8075

Other practice location 1

6096 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2316
Phone (763) 208-8590

Other practice location 2

14050 Burnhaven Dr
Burnsville, MN 55337-4407
Phone (952) 229-6462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20231004003011 CO Practitioner - Optometry 1951704832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steel Optical Inc Professional CorporationGroup PAC ID 6305242280, 3 clinicians

Practice addresses (Care Compare)

5050 N Nevada Ave
Colorado Springs, CO 80918-8602
Phone (719) 900-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3709MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Steel Optical Inc Professional Corporation Optometrist CurrentSince Sep 8, 2021 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Apr 26, 2020 Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients

Locations

5050 N Nevada Ave
Colorado Springs, CO 80918
Phone (719) 264-5010

14050 Burnhaven Dr
Burnsville, MN 55337
Phone (952) 229-6449

995 Blue Gentian Rd
Eagan, MN 55121
Phone (612) 439-8070

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1851911986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 BLUE GENTIAN RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211542",
            "telephone_number": "612-439-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 BLUE GENTIAN RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211542",
            "telephone_number": "612-439-8075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6096 Shingle Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302316",
            "country_code": "US",
            "telephone_number": "763-208-8590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14050 Burnhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374407",
            "country_code": "US",
            "telephone_number": "952-229-6462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIYOSHI",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-18",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "deactivation_date": "2026-03-27",
        "reactivation_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.