Provider Demographics
NPI:1104792159
Name:HOMETOWN EYE CARE, P.A.
Entity type:Organization
Organization Name:HOMETOWN EYE CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE ELIGIBILITY
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FROVARP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-491-5879
Mailing Address - Street 1:109 15TH AVE E
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-2509
Mailing Address - Country:US
Mailing Address - Phone:320-762-5112
Mailing Address - Fax:320-763-3297
Practice Address - Street 1:109 15TH AVE E
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-2509
Practice Address - Country:US
Practice Address - Phone:320-762-5112
Practice Address - Fax:320-763-3297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty