Organization · Type 2 NPI

Jerome D. Poland, M.d., Ltd

Eyewear Supplier · Baxter, MN

NPI number 1295914463 Active

Practice location

7636 Design Rd Ste 105
Baxter, MN 56425-8678

Call (218) 825-1976 Map

Fax (218) 828-9869

Mailing address

1 3rd Ave NE
Crosby, MN 56441-1665

Specialties and licenses

Taxonomy	Code	License
Optometrist	152W00000X	None listed
Eyewear Supplier Primary	332H00000X	2807770002 (MN)

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

Other eyewear supplier providers in Baxter

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NPI record

NPI: 1295914463
Entity type: Organization (Type 2)
Issued: Oct 24, 2007
Last updated: Jul 12, 2013
Status: Active
Subpart: Yes of Crosby Eye Clinic

Other names

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Crosby Eye Clinic/baxter · 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 1295914463

Jerome D. Poland, M.d., Ltd's National Provider Identifier is 1295914463, issued on Oct 24, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Baxter, MN. The record was last updated on Jul 12, 2013.