Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003438797 Individual Practitioner Male Practitioner

Dr. Jacob Victor Sander , OD, MS

Optometrist • Shakopee, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Sander, OD, MS is a certified Optometrist practicing in Shakopee, MN. With approximately 6 years of clinical experience since graduating from Ohio State University - College Of Optometry in 2020, Dr. Sander delivers high-quality medical care to the local community at 1455 SAINT FRANCIS AVE.

Dr. Sander is affiliated with Park Nicollet Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1455 Saint Francis Ave

Shakopee, MN 553793374

Telephone 9529933150
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Shakopee, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -14.0 yrs vs City Avg
City Avg: 20.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Shakopee, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sander (6 Years) 6 Yrs
Shakopee Specialty Average (20.0 Years) 20.0 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
92014 Established patient complete exam of visual system
185 183 $473.00 $123.97
92004 New patient complete exam of visual system
64 64 $559.00 $147.17
99213 Established patient office or other outpatient visit, typically 15 minutes
60 43 $338.00 $87.52
92134 Imaging of retina
40 39 $188.00 $39.43
92083 Exam of visual field with extended testing
27 27 $292.00 $62.92
92133 Imaging of optic nerve
25 25 $171.00 $33.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $420.00 $107.25

Medical Specialties & State Licenses

CMS Verified: 2021-07-01
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 3677

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

Park Nicollet Clinic

3850 Park Nicollet Blvd, St Louis Park, MN 554162527

Phone: 9529933123

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Park Nicollet Clinic

3800 Park Nicollet Blvd, St Louis Park, MN 554162527

Phone: 9529933123

Secondary Practice Locations

9117 Lyndale Ave S

Bloomington, MN 554203522

Phone: 9528351235

Practice Associates & Co-Workers

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

27 Associated Practitioners
NPI 1033196365

Doctor of Optometry

NPI 1073980454

Doctor of Optometry

Dr. Johanna Beebe , MD

Ophthalmology - Neuro-ophthalmology

NPI 1093073868

Doctor of Medicine (M.D.)

NPI 1134389463

Doctor of Medicine (M.D.)

NPI 1164837373

Doctor of Optometry

NPI 1205810868

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 01, 2021

Registered at 1455 SAINT FRANCIS AVE, SHAKOPEE, MN 553793374 (Tel: 9529933150)

📍
Updated Business Mailing Address July 01, 2021

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2021

Optometrist (License #3677 in MN)

NPI Profile Active May 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2020

Registered at 9117 LYNDALE AVE S, BLOOMINGTON, MN 554203522 (Tel: 9528351235)

📍
Updated Business Mailing Address May 15, 2020

Registered at 7027 ALTONBROUGH DR, TOLEDO, OH 436171388 (Tel: 4193604089)

👤
Provider Name / Credentials Updated May 15, 2020

Recorded as JACOB SANDER, OD, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 15, 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. Jacob Sander. Be the first to share your experience!

Sign in to leave a review for Dr. Jacob Sander

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

NPI Administrative Meta

NPI Number: 1003438797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2020
Last Update: July 01, 2021
Sole Proprietor: No

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

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.