Jacob Victor Sander, OD, MS
NPI 1003438797ActiveIndividual· Optometrist· Shakopee, MN
Optometrist (OD, MS) in Shakopee, Minnesota, trained at Ohio State University - College of Optometry (class of 2020). Their prescriptions cost Medicare Part D more than their services did: $81,752 for 518 claims, against $27,194 paid for services in 2024.
Overview
| NPI | 1003438797 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD, MS |
| Sole proprietor | No |
| NPI issued | May 15, 2020 |
| Last updated in NPPES | Jul 1, 2021 |
| Certified by provider | Jul 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3677 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 305 |
|---|---|
| Services billed | 448 across 20 procedure codes |
| Paid by Medicare | $27,194 |
Part D prescriptions in 2024
| Prescriptions (claims) | 518 · 962 30-day fills |
|---|---|
| Patients | 178 |
| Total drug cost | $81,752 |
| Generic share | 67% of claims |
Education and affiliations
| Medical school | Ohio State University - College of Optometry |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Optometry |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Optometrist providers in Shakopee
- 1053557256
- 1154953156
- 1851579957
- 1750998100
- 1649323320
- 1558290692
- 1518975275
- 1962598060
- 1023026788
- 1407109275
- 1508856345
- 1265812283