DR. Sally Beth Jackula OD

  • NPI 1902804149
According to our database, the NPI number for DR. Sally Beth Jackula OD is 1902804149 and activated since 16 years ago. DR. Sally Beth Jackula OD is an individual provider who specializes in Optometrist, and the primary practice location is 3112 Southway Dr, Saint Cloud, MN 56301. You can also contact DR. Sally Beth Jackula OD via telephone number is (320) 257-4747. Provider NPI information was last updated on 03/16/2021.

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Overview of DR. Sally Beth Jackula OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/12/2005
  • Last updated: 03/16/2021

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2895
  • License State: MN

Provider Mailing Address

  • Address: 3112 Southway Dr
    Saint Cloud, MN 56301
  • Phone: 320-257-4747
  • Fax: 320-262-7118

Provider Practice Location

  • Address: 3112 Southway Dr
    Saint Cloud, MN 56301
  • Phone: 320-257-4747
  • Fax: 320-262-7118

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2895
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 125T6JA
  • Identifier Type: Other
  • Identifier State: MN
  • Issuer: BCBS

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Sally Beth Jackula OD?
  • A: The npi number for DR. Sally Beth Jackula OD is 1902804149.
  • Q: What are DR. Sally Beth Jackula OD's specialties?
  • A: DR. Sally Beth Jackula OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for DR. Sally Beth Jackula OD?
  • A: The medical license number for DR. Sally Beth Jackula OD is 2895 and issued in MN in USA.
  • Q: Where is DR. Sally Beth Jackula OD practice location?
  • A: DR. Sally Beth Jackula OD is practicing at 3112 Southway Dr, Saint Cloud, MN 56301.
  • Q: How to contact DR. Sally Beth Jackula OD?
  • A: You can contact DR. Sally Beth Jackula OD via 320-257-4747.