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Homer Eyecare LLC

Optometrist in Homer, AK. Organization (NPI-2).

NPI number1124397682
StatusActive
Last updated in NPPESDec 29, 2011

Details

NPI
1124397682
Entity type
Organization (NPI-2)
Legal business name
Homer Eyecare LLC
Organization subpart
No
Enumeration date
Dec 29, 2011
Last updated
Dec 29, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist306AKYes

Practice location

3726 Lake St
Suite A
Homer, AK 99603-7663

Phone 907-235-7745 · Fax 907-235-7710

Mailing address

3726 Lake St
Suite A
Homer, AK 99603-7663

Phone 907-235-7745 · Fax 907-235-7710

Authorized official

Andrew Peter
President
9072357745

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Homer, AK

All 6 Optometrist providers in Homer · All 537 providers in Homer

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