Organization · Type 2 NPI

Jerome D Poland MD Ltd

Eyewear Supplier · Remer, MN

NPI number 1659550820 Active

Practice location

9 Birch Street
Remer, MN 56672

Call (218) 566-2020 Map

Mailing address

1 3rd Ave NE
Crosby, MN 56441-1665

Specialties and licenses

Taxonomy	Code	License
Optometrist	152W00000X	None listed
Eyewear Supplier Primary	332H00000X	2807770003 (MN)

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

NPI record

NPI: 1659550820
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/remer · doing business as

Authorized official

Dr. Jerome D Poland, MD
Admin Asst
(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 1659550820

Jerome D Poland MD Ltd's National Provider Identifier is 1659550820, issued on Oct 24, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Remer, MN. The record was last updated on Jul 12, 2013.