JEROME D. POLAND MD LTD (NPI# 1780635664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780635664 |
| Entity Type | Organization |
| Organization Name | JEROME D. POLAND MD LTD |
| Other Organization Name | DBA CROSBY EYE CLINIC |
| Practice Address |
1 3rd Ave Ne Crosby MN 56441-1665 |
| Practice Telephone | 2185465108 |
| Practice Fax Number | 2185465736 |
| Mailing Telephone | 2185465108 |
| Mailing Fax Number | 2185465736 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-06-30 |
| Authorized Official Name | DR. JEROME D. POLAND (PRESIDENT) |
| Authorized Official Telephone | 2185465108 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 2807770001 | MN | Suppliers |
| Other Name | Type Code |
|---|---|
| dba Crosby Eye Clinic | Doing Business As Name - Organization |
| Street Address |
1 3RD AVE NE |
| City | CROSBY |
| State | MN |
| Zip Code | 56441-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255884151 | Nerissa Ann Klingelhofer | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2016-07-27 |
| 1558742783 | Joseph Merck | Internal Medicine | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2015-06-12 |
| 1023424926 | S Sjoberg Plc | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2014-07-11 |
| 1215221189 | Adam Ahlquist | Ophthalmology | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2011-06-07 |
| 1710214432 | Cassie Mairs Knipple | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2009-11-17 |
| 1407803844 | Richard L West | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2006-05-30 |
| 1821044041 | Mary M Zeise | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2006-05-26 |
| 1588618268 | William D. Hammer | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2006-05-19 |
| 1275584815 | Stacy A Sjoberg | Ophthalmology | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043381676 | Shannon Marie Smith | Chiropractor | 5 West Main Street, Crosby, MN 56441 | 2006-11-13 |
| 1841207594 | Bruce B Cunningham | Family Medicine | 320 East Main St, Crosby, MN 56441 | 2006-08-02 |
| 1215911391 | Paul R Carey | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2005-12-02 |
| 1629550975 | Samuel T Feyder | Physician Assistant | 320 East Main Street, Crosby, MN 56441 | 2018-09-04 |
| 1205299385 | Ann E Johnson | Obstetrics & Gynecology | 320 East Main Street, Crosby, MN 56441 | 2016-04-05 |
| 1407238389 | Brian Holmgren | Internal Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-06-26 |
| 1285013367 | Paige Elizabeth Holmgren | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-05-22 |
| 1891182341 | Robert G Johnson | Surgery | 320 East Main Street, Crosby, MN 56441 | 2015-04-22 |
| 1932514320 | Melissa Sueann Dyrdal | Nurse Practitioner | 320 East Main Street, Crosby, MN 56441 | 2014-06-25 |
| 1477973063 | James J Stokman | Orthopaedic Surgery | 320 East Main Street, Crosby, MN 56441 | 2014-04-22 |
| Find all providers in zip 56441 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1891351268 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1101 E College Dr, Marshall, MN 56258-2366 | 2019-05-11 |
| 1730745100 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1459 W Service Dr, Winona, MN 55987-2512 | 2019-05-11 |
| 1649836016 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1023 E Blue Earth Ave, Fairmont, MN 56031-4076 | 2019-05-11 |
| 1124684592 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1004 18th Ave Nw Ste D, Austin, MN 55912-1993 | 2019-05-11 |
| 1053977421 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 | 2019-05-11 |
| 1942866371 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 4051 W Division St Ste A, Saint Cloud, MN 56301-3741 | 2019-05-10 |
| 1831651165 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 3366 Oakdale Ave N Ste 140, Robbinsdale, MN 55422-2961 | 2019-04-04 |
| 1538624341 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 9825 Hospital Dr # 106, Maple Grove, MN 55369-4479 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEROME D. POLAND MD LTD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.