Active NPI
William Miyoshi, OD
- Optometrist
- Eagan, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3709
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Corporation
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3709 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steel Optical Inc Professional Corporation | Optometrist | Current | Accepting new patients |
| America'S Best Contacts & Eyeglasses | Past | 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.
-
- Optician
- Brooklyn Center, MN
- NPI 1124437223
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.