Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROBERT JACK JACKULA OD
NPI 1528066776
Optometrist in Saint Cloud, MN

Active since July 12, 2005
4118 W DIVISION ST, SAINT CLOUD, MN 56301(320) 252-2021(320) 252-7416 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert Jack Jackula Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT JACK JACKULA OD (NPI 1528066776) is an individual optometrist in Saint Cloud, Minnesota, licensed in Minnesota (1574) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1528066776
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROBERT JACK JACKULACredential: OD
Location Address4118 W DIVISION STSaint Cloud, MN 56301-3706
Mailing Address4118 W Division StSaint Cloud, MN 56301-3706 · (320) 252-2021 · Fax (320) 252-7416
Fax(320) 252-7416
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1528066776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MN · 1574
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4118 W DIVISION ST, Saint Cloud, MN 56301

Other Identifiers 6

Other964141021424MN · P-1
Other04563JAMN · Bcbs
Other30610MN · Cole
Other22-11984MN · Medica
Other111564MN · Ucare
OtherHP25479MN · Hp

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
4118 W DIVISION ST
SAINT CLOUD, MN 56301
Optometrist
4118 W DIVISION ST
SAINT CLOUD, MN 56301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Jackula's NPI number?

The NPI number for Robert Jackula is 1528066776. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Robert Jackula located?

Robert Jackula practices at 4118 W Division St, Saint Cloud, MN 56301. The listed phone number is (320) 252-2021.

What is Robert Jackula's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Robert Jackula was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.