Douglas Charles Miner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-000641 Issued in AZ

Practice address

1635 N Greenfield Rd
Suite 136
Mesa, AZ 85205-4005

Phone

(480) 219-2412

Fax

(480) 219-2843

NPI assigned

May 24, 2006

Last updated

Apr 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Washington PLLCGroup PAC ID 4486186657, 50 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myeyedr Optometry of Washington, PLLC

  dba MyEyeDr.

  • Optometrist
  • Phoenix, AZ
  • NPI 1053156729
  Medicare reassignment Care Compare group
• Elite Optical, LLC

  • Optometrist
  • Mesa, AZ
  • NPI 1477763498
  Authorized official Same address or phone
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Mesa, AZ
  • NPI 1013861616
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1942255906",
    "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": "1635 N GREENFIELD RD",
            "address_2": "SUITE 136",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054005",
            "telephone_number": "480-219-2412",
            "fax_number": "480-219-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "DOUGLAS",
        "middle_name": "CHARLES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-000641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "116725",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindful Creations
• Mindful Heart Health Center
• Mindful Recovery Center, LLC
• Mindful Wellness of Arizona PLLC
• Amy Miner, COTA
• Andrea Marie Minesaki, N.M.D
• Roopkiran Minhas
• Sajjad Minhas, MD
• Minimally Invasive Spine LLC
• Aleyna Elizabeth Minjares

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.