DBA CROSBY EYE CLINIC
NPI 1780635664
Eyewear Supplier in Crosby, MN
NPI Status: Active since May 15, 2006
Contact Information
1 3RD AVE NE
CROSBY, MN
ZIP 56441
Phone: (218) 546-5108
Fax: (218) 546-5736
- Organization
- Eyewear Supplier
- CLIA Number: 24D2059968
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-03-2027
About DBA CROSBY EYE CLINIC
This page provides the complete NPI Profile along with additional information for Dba Crosby Eye Clinic, a provider established in Crosby, Minnesota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1780635664 assigned on May 2006. The practitioner's primary taxonomy code is 332H00000X with license number 2807770001 (MN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Dba Crosby Eye Clinic. The authorized official of this NPI record is Dr. Jerome D. Poland M.d. (President)
- NPI
- 1780635664
- Provider Legal Name
- JEROME D. POLAND MD LTD
- Other Organization Name
- DBA CROSBY EYE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1 3RD AVE NE CROSBY, MN 56441
- Location Phone
- (218) 546-5108
- Location Fax
- (218) 546-5736
- Mailing Address
- 1 3RD AVE NE CROSBY, MN 56441
- Mailing Phone
- (218) 546-5108
- Mailing Fax
- (218) 546-5736
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2006
- Last Update Date
- 06-30-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- License No.
- 2807770001
- License State
- MN
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2059968
- Facility Type
- Physician Office
- Certificate Effective Date
- June 04, 2025
- Certificate Expiration Date
- June 03, 2027
- Laboratory Director
- STACY A. SJOBERG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dba Crosby Eye Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780635664, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780635664, enumerated as an "organization" on May 15, 2006.
The provider is located at 1 3RD AVE NE CROSBY, MN 56441 and the phone number is (218) 546-5108.
Eyewear Supplier with taxonomy code 332H00000X.
