Dr Jacob Victor Sander, OD, MS - Medicare Optometrist in Shakopee, MN

Dr Jacob Victor Sander, OD, MS is a medicare enrolled "Optometrist" provider in Shakopee, Minnesota. He went to Ohio State University - College Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Park Nicollet Clinic and his current practice location is 1455 Saint Francis Ave, Shakopee, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3150.

Dr Jacob Victor Sander is licensed to practice in Minnesota (license number 3677) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003438797.

Contact Information

Dr Jacob Victor Sander, OD, MS
1455 Saint Francis Ave,
Shakopee, MN 55379-3374
(952) 993-3150
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacob Victor Sander
GenderMale
SpecialityOptometry
Experience4 Years
Location1455 Saint Francis Ave, Shakopee, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacob Victor Sander attended and graduated from Ohio State University - College Of Optometry in 2020
  NPI Data:
  • NPI Number: 1003438797
  • Provider Enumeration Date: 05/15/2020
  • Last Update Date: 07/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426475179
  • Enrollment ID: I20200826003708

Medical Identifiers

Medical identifiers for Dr Jacob Victor Sander such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003438797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3677 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381529

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jacob Victor Sander allows following entities to bill medicare on his behalf.
Provider NamePark Nicollet Clinic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob Victor Sander is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacob Victor Sander, OD, MS
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -
Dr Jacob Victor Sander, OD, MS
1455 Saint Francis Ave,
Shakopee, MN 55379-3374

Ph: (952) 993-3150

Reviews and Comments


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Kasie Jean Mix, O.D., M.S.
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Phone: 952-993-3150    Fax: 952-993-7835
Steven Norman Monroe, OD
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Practice Location: 312 1st Ave E, Shakopee, MN 55379
Phone: 952-445-4474    Fax: 952-496-3432

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.