Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sally Beth Jackula, OD

Individual provider Optometrist · NPI 1902804149

Dr. Sally Beth Jackula, OD is an Optometrist in Saint Cloud, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3112 Southway Dr
Saint Cloud, MN 56301-9589
Phone: (320) 257-4747
Fax: (320) 262-7118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2895 (MN)

Record details

NPI number1902804149
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 12, 2005
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
Mailing address3112 Southway Dr, Saint Cloud, MN 56301-9589

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