Sally Jackula, OD

ActiveIndividual ProviderOptometry
NPI issued: July 12, 2005

Quick Facts

NPI Number
1902804149
TypeIndividual
StatusActive
SpecialtyOptometry
Taxonomy152W00000X — Optometry
Phone
(320) 257-4747
StateMN

NPI Validation Status: Verified

Valid 10-digit NPI number (1902804149)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 12, 2005)
Data source: CMS NPPES

Provider Overview

SALLY JACKULA, OD is a Optometry provider based in Saint Cloud, MN who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1902804149
Provider TypeIndividual Provider
GenderFemale
CredentialOD
StatusActive
Enumeration DateJuly 12, 2005

Practice Location

CitySaint Cloud
StateMN
ZIP Code56301-9589
Phone(320) 257-4747

Specialties & Licenses

★ Primary
SpecialtyOptometry
Taxonomy Code152W00000X
License StateMN

Mailing Address

CitySaint Cloud
StateMN
ZIP Code56301-9589
Phone(320) 257-4747
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1902804149 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1902804149for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1902804149 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
95,009
Optometry Providers in the US

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People Also Ask

What is Sally Jackula's NPI number?
Sally Jackula's NPI number is 1902804149, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Sally Jackula's NPI currently active?
Yes, Sally Jackula's NPI status is Active as of the latest CMS NPPES database updates.
What does Sally Jackula specialize in?
Sally Jackula specializes in Optometry. The healthcare taxonomy code associated with this specialty is 152W00000X.
Where does Sally Jackula practice?
Sally Jackula practices in Saint Cloud, MN 56301-9589.
When was Sally Jackula's NPI issued?
Sally Jackula's NPI was issued on July 12, 2005.
What is Sally Jackula's provider type?
Sally Jackula is registered as an Individual Provider under CMS NPI Type 1.