Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1851911986 Deactivated / Inactive NPI Male Practitioner

Dr. William Miyoshi , OD

Optometrist • Eagan, MN

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Miyoshi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2020
NPI Deactivation Date March 27, 2026
Total Practice Duration ~6 Years of Practice (2020 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. William Miyoshi, OD was a registered Optometrist in Eagan, MN. Prior to record deactivation on 2026-03-27, Dr. Miyoshi completed approximately 6 years of clinical practice following graduation from Illinois College Of Optometry At Chicago in 2020.

Dr. Miyoshi was affiliated with Steel Optical Inc Professional Corporation and accepted Medicare assignment.

Historical Medicare Part B clinical services included new patient complete exam of visual system, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

995 Blue Gentian Rd

Eagan, MN 551211542

Telephone 6124398075
Associated Practice Facility / Clinic
🏢 Costco Wholesale Corporation Facility NPI 1275183568

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Eagan, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -11.5 yrs vs City Avg
City Avg: 17.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Eagan, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miyoshi (6 Years) 6 Yrs
Eagan Specialty Average (17.5 Years) 17.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
63 63 $139.00 $136.97
92014 Established patient complete exam of visual system
15 15 $120.33 $117.79

Medical Specialties & State Licenses

CMS Verified: 2026-05-20
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 3709

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Steel Optical Inc Professional Corporation

5050 N Nevada Ave, Colorado Springs, CO 809188602

Phone: 7199003737

Secondary Practice Locations

6096 Shingle Creek Pkwy

Brooklyn Center, MN 554302316

Phone: 7632088590

14050 Burnhaven Dr

Burnsville, MN 553374407

Phone: 9522296462

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Kristina Nguyen , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1144635871

Doctor of Pharmacy (Pharm.D.)

NPI 1356679195

Doctor of Pharmacy (Pharm.D.)

NPI 1477471399
Dr. Peter Janson , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1881143501

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location May 20, 2026

Registered at 995 BLUE GENTIAN RD, EAGAN, MN 551211542 (Tel: 6124398075)

📍
Updated Business Mailing Address May 20, 2026

Registered at 995 BLUE GENTIAN RD, EAGAN, MN 551211542 (Tel: 6124398075)

📍
Updated Practice Location May 01, 2026

Registered at 6096 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 554302316 (Tel: 7632088590)

📍
Updated Business Mailing Address May 01, 2026

Registered at 6096 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 554302316 (Tel: 7632088590)

👤
Provider Name / Credentials Updated May 01, 2026

Recorded as WILLIAM MIYOSHI, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2026

Optometrist (License #3709 in MN)

⚠️
NPI Profile Deactivated March 27, 2026

Record deactivated on March 27, 2026

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2021

Optometrist (License #3709 in MN)

NPI Profile Active April 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2020

Registered at 6096 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 554302316 (Tel: 7632088590)

📍
Updated Business Mailing Address April 18, 2020

Registered at 6096 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 554302316 (Tel: 7632088590)

👤
Provider Name / Credentials Updated April 18, 2020

Recorded as WILLIAM MIYOSHI, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. William Miyoshi. Be the first to share your experience!

Sign in to leave a review for Dr. William Miyoshi

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1851911986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2020
Last Update: May 20, 2026
Deactivation Date: March 27, 2026
Sole Proprietor: No

Mailing Address

995 Blue Gentian Rd

Eagan, MN 551211542

Phone: 6124398075

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.