Jerome D. Poland, M.D., Ltd in Onamia - Eyewear Supplier

Jerome D. Poland, M.D., Ltd - NPI 1285813451

Jerome D. Poland, M.D., Ltd is a Eyewear Supplier in Onamia, Minnesota. Jerome D. Poland, M.D., Ltd practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Jerome D. Poland, M.D., Ltd is 1285813451. The last update date is 2013-07-12.

Jerome D. Poland, M.D., Ltd's current location address is 43500 Migizi Dr, Onamia, Minnesota. You can contact this provider via phone number 3205324163 and fax number 3205324354. The mailing address for Jerome D. Poland, M.D., Ltd is 43500 Migizi Dr, Onamia, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jerome D. Poland, M.D., Ltd
Address 43500 Migizi Dr, Onamia, Minnesota
Phone Number 3205324163
Fax Number 3205324354
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Poland D Jerome
Credentials MD
Telephone Number 2185465108

NPI Number Detail

NPI Number 1285813451
Provider Enumeration Date 2007-10-24
Last Updated Date 2013-07-12

Provider Mailing Address Detail

Address 43500 Migizi Dr
City Onamia
State Minnesota (MN)
Post Code 563592241
Phone Number 3205324163
Fax Number 3205324354

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 2807770001
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
261527400 MN --
CG9827 MN PALMETTO GBA
566R0CR MN BLUE PLUS DISP
85038PO MN BLUE CROSS/BLUE SHIELD MN

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FAQs about Jerome D. Poland, M.D., Ltd

What is the unique 10-digit identifier code assigned to Jerome D. Poland, M.D., Ltd by the Centers for Medicare & Medicaid Services?

The Jerome D. Poland, M.D., Ltd has been issued the NPI (National Provider Identifier) 1285813451 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jerome D. Poland, M.D., Ltd?

The Jerome D. Poland, M.D., Ltd is physically situated at 43500 Migizi Dr, in the city of Onamia, state of MN, with the postal code 563592241.

What is Jerome D. Poland, M.D., Ltd's area of expertise and its corresponding taxonomy classification?

The Jerome D. Poland, M.D., Ltd's field of specialization is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1285813451 to Jerome D. Poland, M.D., Ltd?

The Centers for Medicare & Medicaid Services assigned the 1285813451 to Jerome D. Poland, M.D., Ltd on 2007-10-24.

As of what date were the details related to Jerome D. Poland, M.D., Ltd most recently updated or revised?

The information pertaining to Jerome D. Poland, M.D., Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2013-07-12.

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