Dr. Jacob Victor Sander
Optometrist
1455 Saint Francis Ave
Shakopee
, Minnesota 55379-3374
Dr. Jacob Victor Sander
Optometrist
1455 Saint Francis Ave
Shakopee
, Minnesota 55379-3374
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Jacob Victor Sander
- 8170 33rd Ave S # Ms 21110q
- Bloomington, MN
- Zip : 55425-4516
- Phone :
Second Address
- Dr. Jacob Victor Sander
- 1455 Saint Francis Ave
- Shakopee, MN
- Zip : 55379-3374
- Phone : (952) 993-3150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3677 | MN |
National Provider Identifier
| NPI | 1003438797 |
|---|---|
| Provider Name | Dr. Jacob Victor Sander |
| First Address | Bloomington, MN 55425-4516 |
| Second Address | Shakopee, MN 55379-3374 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2020 |
| Last Update Date | 01/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.