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CROSBY EYE CLINIC/BAXTER
NPI 1295914463
Eyewear Supplier in Baxter, MN

Active since October 24, 2007
7636 DESIGN RD STE 105, BAXTER, MN 56425(218) 825-1976(218) 828-9869 Get Directions Write a Review

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

About Crosby Eye Clinic/baxter NPPES

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

CROSBY EYE CLINIC/BAXTER (NPI 1295914463) is a healthcare organization registered as an eyewear supplier in Baxter, Minnesota and active in the NPI registry since October 2007. The organization lists Jerome D Poland, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1295914463
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameJEROME D. POLAND, M.D., LTD
Location Address7636 DESIGN RD STE 105Baxter, MN 56425-8678
Mailing Address1 3rd Ave NeCrosby, MN 56441-1665 · (218) 546-5108 · Fax (218) 546-5736
Phone(218) 825-1976
Fax(218) 828-9869
Organization SubpartYesParent: Crosby Eye Clinic
Authorized OfficialJerome D PolandMedical Director · (218) 546-5108
Enumeration DateOctober 24, 2007
Last NPPES UpdateJuly 12, 2013
✔ NPI 1295914463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in MN · 2807770002
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometristTaxonomy 152W00000X
7636 DESIGN RD STE 105, Baxter, MN 56425
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Other Names 1

Doing Business AsCrosby Eye Clinic/baxter

Other Identifiers 6

OtherCG9827MN · Palmetto Gba
Other85038POMN · Blue Cross/blue Shield Mn
Medicaid261527400MN
Medicare PINC08365MN
Medicare NSC2807770002MN
Other566R0CRMN · Blue Plus Dispensing

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for Jerome D. Poland, M.D., Ltd is 1295914463. It was assigned to this organization in the NPPES registry on October 24, 2007. The provider is doing business as Crosby Eye Clinic/Baxter.

Where is Jerome D. Poland, M.D., Ltd located?

Jerome D. Poland, M.D., Ltd is located at 7636 Design Rd Ste 105, Baxter, MN 56425. The listed phone number is (218) 825-1976.

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

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

When was this NPI record last updated?

The NPPES record for Jerome D. Poland, M.D., Ltd was last updated on July 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.