Dr. Sally Beth Jackula is a Saint Cloud, Minnesota based female Optometrist with 22 years of experience in Optometry. She completed her graduation from Pacific University - College Of Optometry in 2002. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Sally Beth Jackula is 2895 for Optometry in Minnesota. Dr. Sally Beth Jackula examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Sally Beth Jackula speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
22+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2002
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
3112 Southway Dr, Saint Cloud, Minnesota, 56301-9589
Phone:
320-257-4747
Fax:
320-262-7118
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3476569112
Enrollment ID:
I20060303000518
NPI Number:
1902804149
NPI Enumeration Date:
12 Jul, 2005
NPI Last Update On:
16 Mar, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sally Beth Jackula are as mentioned below.
License Number
Specialization
State
Status
2895
Optometry
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Sally Beth Jackula such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
207837
Other
Minnesota
207837
22-01872
Other
Minnesota
MEDICA
125T6JA
Other
Minnesota
BCBS
126382000
Medicaid
Minnesota
141351
Other
Minnesota
UCARE
964141032721
Other
Minnesota
P-1
HP37041
Other
Minnesota
HP
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3112 Southway Dr, Saint Cloud, Minnesota
Zip:
56301-9589
Phone Number:
320-257-4747
Fax Number:
320-262-7118
Patients can reach Dr. Sally Beth Jackula at 3112 Southway Dr, Saint Cloud, Minnesota or can call to book an appointment on 320-257-4747. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.