Jacob Roy Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1526 Issued in AZ

Practice address

3840 N 16TH St
Phoenix, AZ 85016-5917

Phone

(602) 232-6066

NPI assigned

Sep 2, 2006

Last updated

Sep 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Ophthalmologists LTDGroup PAC ID 8325024805, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Ophthalmologists LTD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1487704581
  Medicare reassignment Care Compare group NPD
• Arizona Retina and Vitreous Consultants LLC

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1174852388
  NPD
• Premier Surgical Suites LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
  • NPI 1215892781
  NPD
• John H McDougall OD Arizona PC

  dba 20/20 Image Eye Centers

  • Optometrist
  • Fountain Hills, AZ
  • NPI 1851882179
  NPD (past)
• Oasis Vision Center, P.C.

  • Optometrist
  • Gilbert, AZ
  • NPI 1275628919
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1922100650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165917",
            "telephone_number": "602-232-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165917",
            "telephone_number": "602-232-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACOB",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Lamont Miller
• Holly Kline Miller, D.O.
• Howard J Miller, O.D.
• Isabel Victoria Miller, SLP
• Jacob Miller
• Jacqueline A Miller, R.D.H.
• Jason Lee Miller, DMD
• Jeffrey H Miller, M.D.
• Jeffrey James Miller
• Jennifer Catherine Miller, NNP

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.