Organization · Type 2 NPI

Jerome D. Poland, M.d., Ltd

Eyewear Supplier · Onamia, MN

NPI number 1285813451 Active

Practice location

43500 Migizi Dr
Onamia, MN 56359-2241

Call (320) 532-4163 Map

Fax (320) 532-4354

Mailing address

1 3rd Ave NE
Crosby, MN 56441-1665

Specialties and licenses

Taxonomy	Code	License
Optometrist	152W00000X	None listed
Eyewear Supplier Primary	332H00000X	2807770001 (MN)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

16 other providers at this address

NPI record

NPI: 1285813451
Entity type: Organization (Type 2)
Issued: Oct 24, 2007
Last updated: Jul 12, 2013
Status: Active
Subpart: Yes of Jerome D. Poland, M.d., Ltd

Other names

<unavail>
Crosby Eye Clinic · doing business as

Authorized official

Dr. Jerome D Poland, MD
Medical Director
(218) 546-5108

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285813451

Jerome D. Poland, M.d., Ltd's National Provider Identifier is 1285813451, issued on Oct 24, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Onamia, MN. The record was last updated on Jul 12, 2013.