Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Derek P. Jacobsen

Individual provider Optometrist · NPI 1124462593

Dr. Derek P. Jacobsen is an Optometry in Sun City West, Arizona. Qualified in 2013, 13 years ago. Practices with Scottsdale Center for Sight, PLC, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2013
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Practice location Address checks out

13613 W Camino Del Sol Ste 2
Sun City West, AZ 85375-4480
Phone: (623) 584-2100
Fax: (623) 584-0023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7727 W Deer Valley Rd Ste E200, Peoria, AZ 85382-2114 — (623) 376-9070
  • 18325 N Allied Way, Phoenix, AZ 85054-3105 — (602) 467-4966

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1933 (AZ)

Record details

NPI number1124462593
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2013
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Scottsdale Center For Sight, Plc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sun City West