Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Sally Beth Jackula, OD

Optometrist in Saint Cloud, MN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902804149

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Registry record

Entity type Individual (Type 1)

Name Dr. Sally Beth Jackula

Credential OD

Sex Female

Practice address Saint Cloud, MN, 56301

Phone (320) 257-4747

Fax (320) 262-7118

Enumeration date Jul 12, 2005

Last updated in NPPES Mar 16, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 2895 (MN) Primary

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
207837	Other	MN	207837
22-01872	Other	MN	MEDICA
125T6JA	Other	MN	BCBS
126382000	Medicaid	MN	-
141351	Other	MN	UCARE
964141032721	Other	MN	P-1
HP37041	Other	MN	HP

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.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Sally Jackula?

Sally Jackula is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-16.