Patjac, Inc.
Patjac, Inc. is a healthcare organization registered as Eyewear Supplier in Saint Cloud, MN, holding Type 2 (organization) NPI 1033118302 since 2005. The authorized official on file is Patrick Kane, Franchise Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033118302 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Patjac, Inc. |
| Other name | <Unavail> |
| Practice address | 4118 W DIVISION ST, Saint Cloud, MN, 56301 |
| Phone | 3202522021 |
| Fax | 3202527416 |
| Enumeration date | 2005-07-19 |
| Last updated in NPPES | 2022-07-21 |
Authorized official
| Name | Patrick Kane |
|---|---|
| Title | Franchise Owner |
| Phone | 3202522021 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Primary | — | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02754 | Other | — | WISCONSIN PHY |
| 65209PE | Other | MN | BCBS |
| 65208PE | Other | MN | BCBS |
| 102081 | Other | MN | COLE |
| 65377 | Other | MN | HP |
| 110495 | Other | MN | UCARE |
| 21-20963 | Other | MN | MEDICA |
| 383663100 | Medicaid | MN | — |
Copy-ready billing details
Provider: Patjac, Inc. NPI: 1033118302 Taxonomy: 332H00000X (Eyewear Supplier) Address: 4118 W DIVISION ST, Saint Cloud, MN, 56301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528066776 | Robert Jackula | Individual | Optometrist | Saint Cloud, MN |
| 1285833624 | Melissa Shaffer | Individual | Optometrist | Saint Cloud, MN |
Verify this record
Cross-check NPI 1033118302 against the authoritative CMS record: view Patjac, Inc. 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
Where is Patjac, Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-07-21.