Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACOB ROY MILLER O.D.
NPI 1922100650
Optometrist in Phoenix, AZ

Q: What is Jacob Miller's NPI number?

The NPI number for Jacob Miller is 1922100650. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Q: What is Jacob Miller's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Miller was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment

3840 N 16TH ST, PHOENIX, AZ 85016(602) 232-6066 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2026, Mar 7, 2023, Jun 11, 2019 and 2 more (5 updates tracked since 2018).

On this page

About Dr. Jacob Roy Miller O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB ROY MILLER O.D. (NPI 1922100650) is an individual optometrist in Phoenix, Arizona, licensed in Arizona (1526) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1922100650

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JACOB ROY MILLERCredential: O.D.

Location Address3840 N 16TH STPhoenix, AZ 85016-5917

Mailing Address3840 N 16th StPhoenix, AZ 85016-5917 · (602) 232-6066

Phone(602) 232-6066

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 2, 2006

Last NPPES UpdateSeptember 16, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1922100650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AZ · 1526

Definition

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.

3840 N 16TH ST, Phoenix, AZ 85016

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Other Identifiers 2

Medicaid153713AZ

Other1526AZ · Arizona State Board Of Optometry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Roy Miller O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648277194

PECOS Enrollment IDI20061026000285

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jacob Miller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arizona Retina And Vitreous Consultants LLC

Same address

Ophthalmology

3840 N 16TH ST
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
5 clinicians in this Medicare group

NPI 1174852388 (602) 232-6066

Associated Ophthalmologists Ltd

7.9 mi

Ophthalmology

7373 N SCOTTSDALE RD STE C-302
Scottsdale, AZ 85253

Reassigned Medicare billing, Arizona enrollment
31 clinicians in this Medicare group

NPI 1487704581 (480) 994-5012

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

712 services684 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

301 services235 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

196 services196 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

144 services144 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

129 services126 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

112 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHABARI SANAT SEETHARAM M.D.

Ophthalmology