Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
JEROME D. POLAND, M.D., LTD
Active
Organization
JEROME D. POLAND, M.D., LTD
Active
Parent organization
CROSBY EYE CLINIC
Other names
Crosby Eye Clinic/Baxter
Organization subpart
Yes
Provider details
NPI number
Legal business name
CROSBY EYE CLINIC
Authorized official
DR. JEROME D POLAND MD (MEDICAL DIRECTOR)
(218) 546-5108
Entity
Organization
Contact information
Practice address
7636 DESIGN RD STE 105, BAXTER, MN 56425-8678
(218) 825-1976
(218) 828-9869
Mailing address
1 3RD AVE NE, CROSBY, MN 56441-1665
(218) 546-5108
(218) 546-5736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
2807770002
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261527400
—
MN
01
—
566R0CR
BLUE PLUS DISPENSING
MN
01
—
85038PO
BLUE CROSS/BLUE SHIELD MN
MN
01
—
CG9827
PALMETTO GBA
MN
Enumeration date
10/24/2007
Last updated
07/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up