JEROME D. POLAND MD LTD NPI 1780635664

NPI Information

  • NPI: 1780635664
  • Provider Name: JEROME D. POLAND MD LTD
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: DBA CROSBY EYE CLINIC
  • Address: 1 3RD AVE NE
    CROSBY, MN
    ZIP 56441
  • Phone: (218) 546-5108

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NPI Details

JEROME D. POLAND MD LTD is an eyewear supplier in Crosby, MN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JEROME D. POLAND MD LTD NPI is 1780635664. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Crosby Eye Clinic.

The provider's business location address is:

1 3RD AVE NE
CROSBY, MN
ZIP 56441-665
Phone: (218) 546-5108
Fax: (218) 546-5736

The provider's authorized official is Jerome D. Poland .
The authorized official title is President and has the following contact phone number (218) 546-5108.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 6/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier2807770001MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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