Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT JACK JACKULA, OD
ActiveDR. ROBERT JACK JACKULA, OD is a Optometrist healthcare provider located in SAINT CLOUD, Minnesota. NPI 1528066776 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1528066776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2005 (21.048042399562 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1574 (MN)
Practice Information
- Address
-
4118 W DIVISION STSAINT CLOUD, MN, 563013706Browse MN providers · Browse ZIP 56301
- Phone
- 3202522021
- Fax
- 3202527416
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SAINT CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| DR. SALLY BETH JACKULA | OD | 1902804149 |
| JOHN G HASBROUCK | OD | 1225025927 |
| MICHAEL DAVID SUFKA | OD | 1083601165 |
| DR. MITCHELL DEAN HARSTAD | OD | 1396733143 |
| DR. DOUGLAS GROSS | O.D. | 1033193511 |
| MR. BRYAN DAVID LORENZ | OD | 1881634806 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.