CROSBY EYE CLINIC
NPI 1285813451
Eyewear Supplier in Onamia, MN

Q: What is Jerome D. Poland, M.D., Ltd's NPI number?

The NPI number for Jerome D. Poland, M.D., Ltd is 1285813451. It was assigned to this organization in the NPPES registry on October 24, 2007. The provider is doing business as Crosby Eye Clinic.

Q: What is Jerome D. Poland, M.D., Ltd's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since October 24, 2007CLIA 24D2059968 · Waiver

43500 MIGIZI DR, ONAMIA, MN 56359(320) 532-4163(320) 532-4354 Get Directions Write a Review

NPPES record last updated: July 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Crosby Eye Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSBY EYE CLINIC (NPI 1285813451) is a healthcare organization registered as an eyewear supplier in Onamia, Minnesota and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Jerome D Poland, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1285813451

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameJEROME D. POLAND, M.D., LTD

Location Address43500 MIGIZI DROnamia, MN 56359-2241

Mailing Address1 3rd Ave NeCrosby, MN 56441-1665 · (218) 546-5108 · Fax (218) 546-5736

Phone(320) 532-4163

Fax(320) 532-4354

Organization SubpartYes

Authorized OfficialJerome D PolandMedical Director · (218) 546-5108

Enumeration DateOctober 24, 2007

Last NPPES UpdateJuly 12, 2013

✔ NPI 1285813451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

License✔ Licensed in MN · 2807770001

Definition

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

Also ListedOptometristTaxonomy 152W00000X

43500 MIGIZI DR, Onamia, MN 56359

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Other Names 1

Doing Business AsCrosby Eye Clinic

Other Identifiers 6

Other85038POMN · Blue Cross/blue Shield Mn

Medicaid261527400MN

Medicare NSC2807770001MN

Other566R0CRMN · Blue Plus Disp

Medicare PINC08365MN

OtherCG9827MN · Palmetto Gba

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2059968

Crosby Eye Clinic/Great River Eye Clinic S Sjoberg Plc · Crosby, MN

Active · expires Jun 3, 2027

CLIA Number24D2059968

Laboratory TypePhysician Office

Certificate Effective DateJune 4, 2025

Certificate Expiration DateJune 3, 2027

Laboratory DirectorStacy A. Sjoberg

Laboratory Phone(218) 546-5108

Laboratory LocationCrosby Eye Clinic/Great River Eye Clinic S Sjoberg PlcOne 3rd Avenue NE, Crosby, MN 56441

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA GRAFF RDH BS

Dental Hygienist