Dr. Robert Jack Jackula, OD
Dr. Robert Jack Jackula is a Optometrist provider (Optometrist) practicing in Saint Cloud, MN, registered in the NPPES registry with NPI 1528066776 since 2005. The credential OD stands for Doctor of Optometry. Practices at Patjac, Inc. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1528066776 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Robert Jack Jackula |
| Credential | OD |
| Sex | Male |
| Practice address | 4118 W DIVISION ST, Saint Cloud, MN, 56301 |
| Phone | 3202522021 |
| Fax | 3202527416 |
| Enumeration date | 2005-07-12 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 1574 | MN |
OD — Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 964141021424 | Other | MN | P-1 |
| 04563JA | Other | MN | BCBS |
| 30610 | Other | MN | COLE |
| 22-11984 | Other | MN | MEDICA |
| 111564 | Other | MN | UCARE |
| HP25479 | Other | MN | HP |
Copy-ready billing details
Provider: Robert Jackula, OD NPI: 1528066776 Taxonomy: 152W00000X (Optometrist) Address: 4118 W DIVISION ST, Saint Cloud, MN, 56301
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033118302 | Patjac, Inc. | Organization | Eyewear Supplier | Saint Cloud, MN |
| 1285833624 | Melissa Shaffer | Individual | Optometrist | Saint Cloud, MN |
Verify this record
Cross-check NPI 1528066776 against the authoritative CMS record: view Dr. Robert Jack Jackula on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.