Vision restoration with retinal implants is limited by indiscriminate simultaneous activation of many cells and cell types, which is incompatible with reproducing the neural code of the retina. Recent work has shown that macaque retinal ganglion cells (RGCs), which transmit visual information to the brain, can be directly electrically activated with single-cell, single-spike, cell-type precision – however, this possibility has never been tested in the human retina. Here, the electrical activation properties of identified RGC types in the human retina were examined using large-scale, multi-electrode recording and stimulation ex vivo and were compared directly to results from macaque. Precise activation was often possible without activating overlying axon bundles, at low stimulation current levels similar to those observed in macaque. The major RGC types could be identified and targeted based on their distinctive electrical signatures. The measured electrical activation properties of RGCs, combined with a dynamic stimulation algorithm, was sufficient to produce a nearly optimal evoked visual signal. These results reveal the possibility of high-fidelity vision restoration using bi-directional retinal implants.