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General NPI Number Information
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NPI Number | 1104792159
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Entity Type | Organization
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Legal Business Name | HOMETOWN EYE CARE, P.A.
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 109 15TH AVE E
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City | ALEXANDRIA
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State | MN
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Zip | 56308-2509
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Country | US
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Telephone | 320-762-5112
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Fax | 320-763-3297
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Provider Business Mailing Address
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Address Line | 109 15TH AVE E
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City | ALEXANDRIA
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State | MN
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Zip | 56308-2509
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Country | US
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Telephone | 320-762-5112
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Fax | 320-763-3297
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Authorized Official
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Title or Position | INSURANCE ELIGIBILITY
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Name | JULIE FROVARP
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Credential |
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Telephone | 320-491-5879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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