IRIS VISION CARE, LLC.
NPI 1679708887
Clinic/Center in Saint Cloud, MN
About Iris Vision Care, Llc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRIS VISION CARE, LLC. (NPI 1679708887) is a healthcare organization registered as a clinic/center in Saint Cloud, Minnesota and active in the NPI registry since May 2009. The organization lists Sally Beth Jackula, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Iris Vision Care, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Iris Vision Care, LLC., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Iris Vision Care, LLC.'s NPI number?
The NPI number for Iris Vision Care, LLC. is 1679708887. It was assigned to this organization in the NPPES registry on May 18, 2009.
Where is Iris Vision Care, LLC. located?
Iris Vision Care, LLC. is located at 1301 33rd St S Suite 104, Saint Cloud, MN 56301. The listed phone number is (320) 281-4787.
What is Iris Vision Care, LLC.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Iris Vision Care, LLC. enrolled in Medicare?
Yes. Iris Vision Care, LLC. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Iris Vision Care, LLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Iris Vision Care, LLC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Iris Vision Care, LLC. accept?
Health plans from HealthPartners list Iris Vision Care, LLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Iris Vision Care, LLC. was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.
# Iris Vision Care, Llc. · NPI 1679708887
Clinic/Center organization in Saint Cloud, Minnesota. Organization record, active in the CMS NPPES registry since May 18, 2009.
## Identity
- **NPI:** 1679708887 (Entity type: Organization)
- **Enumerated:** May 18, 2009
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Sally Jackula, OWNER
## Practice location
- **Address:** 1301 33RD ST S, SUITE 104, Saint Cloud, MN 56301-9668
- **Phone:** (320) 281-4787
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1679708887) · Data from the CMS NPPES public registry.