Organization Active NPI

Hometown Eye Care PA

  • Optometrist
  • Alexandria, MN
National Provider Identifier
1104792159
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HOMETOWN EYE CARE PA
Practice address
109 15TH Ave E
Alexandria, MN 56308-2509
Phone
(320) 762-5112
Fax
(320) 763-3297
NPI assigned
Oct 16, 2025
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Frovarp
Title
Insurance Eligibility
Phone
(320) 762-5112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

109 15TH Ave E
Alexandria, MN 56308-2509

Mailing address

109 15TH Ave E
Alexandria, MN 56308-2509
Phone (320) 762-5112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260408001507 MN Part B Supplier - Clinic/Group Practice 7810462785 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1104792159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 15TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082509",
            "telephone_number": "320-762-5112",
            "fax_number": "320-763-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 15TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082509",
            "telephone_number": "320-762-5112",
            "fax_number": "320-763-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "FROVARP",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "INSURANCE ELIGIBILITY",
        "authorized_official_telephone_number": "320-762-5112"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.