Dr. Sally Beth Jackula, OD

Dr. Sally Beth Jackula is a Optometrist provider (Optometrist) practicing in Saint Cloud, MN, registered in the NPPES registry with NPI 1902804149 since 2005. The credential OD stands for Doctor of Optometry.

✓ Active NPI ✓ Valid NPI checksum Sole proprietor

NPI	1902804149
Entity type	Individual (Type 1)
Name	Dr. Sally Beth Jackula
Credential	OD
Sex	Female
Practice address	Saint Cloud, MN, 56301
Phone	3202574747
Fax	3202627118
Enumeration date	2005-07-12
Last updated in NPPES	2021-03-16

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

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	2895	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
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

Copy-ready billing details

Provider: Sally Jackula, OD
NPI: 1902804149
Taxonomy: 152W00000X (Optometrist)
Address: Saint Cloud, MN, 56301

Verify this record

Cross-check NPI 1902804149 against the authoritative CMS record: view Dr. Sally Beth 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

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 2026-07-11. Provider record last updated 2021-03-16.