Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacob Victor Sander, OD, MS

Individual provider Optometrist · NPI 1003438797

Dr. Jacob Victor Sander, OD, MS is an Optometry in Shakopee, Minnesota. Graduated from Ohio State University - College of Optometry in 2020, 6 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Trained at
Ohio State University - College of Optometry
Licensed in
MN
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone: (952) 993-3150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9117 Lyndale Ave S, Bloomington, MN 55420-3522 — (952) 835-1235

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3677 (MN)

Record details

NPI number1003438797
Entity typeIndividual (Type 1)
GenderMale
Credentials OD , MS
Sole proprietorNo
NPI enumeratedMay 15, 2020
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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