Sally Beth Jackula, OD
NPI 1902804149ActiveIndividual· Optometrist· Saint Cloud, MN
Optometrist (OD) in Saint Cloud, Minnesota, licensed in MN, with an NPI issued in July 2005. Enrolled in Medicare as practitioner - optometry. Coopervision Inc. reported $31.63 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1902804149 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | Yes |
| NPI issued | Jul 12, 2005 |
| Last updated in NPPES | Mar 16, 2021 |
| Certified by provider | Mar 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2895 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MN) |
|---|
Industry payments (Open Payments)
- 2025$31.63 · 1 payment from 1 company
- 2024$114.21 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Coopervision Inc. | $31.63 | 1 |
What the 2025 payments were for
- Food and Beverage$31.63 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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