All Medicaid billing entities listing JACKULA, SALLY (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $174.41 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | IRIS VISION CARE, LLC. | SAINT CLOUD, MN | Clinic/Center | $174.41 |