IndividualActive
Gary Jacobsen, OD
NPI 1891786513 · Optometrist · Chandler, AZ
Provider details
- NPI number
- 1891786513
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 453 (MT)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3111 W Chandler Blvd
Suite 2104
Chandler, AZ 85226-5071
Phone: (480) 726-7009
Street-level locationGet directions
Mailing address
3468 E Hazeltine Way
Chandler, AZ 85249-9167
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2014-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.