HOMER EYECARE LLC
NPI 1124397682
Optometrist in Homer, AK

Q: What is Homer Eyecare LLC's NPI number?

The NPI number for Homer Eyecare LLC is 1124397682. It was assigned to this organization in the NPPES registry on December 29, 2011.

Q: What is Homer Eyecare LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Homer Eyecare LLC was last updated on December 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 29, 2011

3726 LAKE ST, SUITE A, HOMER, AK 99603(907) 235-7745(907) 235-7710 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Homer Eyecare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMER EYECARE LLC (NPI 1124397682) is a healthcare organization registered as an optometrist in Homer, Alaska and active in the NPI registry since December 2011. The organization lists Andrew Peter, President, as its authorized official.

NPPES Registry Identity

NPI1124397682

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameHOMER EYECARE LLC

Location Address3726 LAKE ST, SUITE AHomer, AK 99603-7663

Mailing Address3726 Lake St, Suite AHomer, AK 99603-7663 · (907) 235-7745 · Fax (907) 235-7710

Phone(907) 235-7745

Fax(907) 235-7710

Organization SubpartNo

Authorized OfficialAndrew PeterPresident · (907) 235-7745

Enumeration DateDecember 29, 2011

✔ NPI 1124397682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AK · 306

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

3726 LAKE ST, Homer, AK 99603

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Homer Eyecare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateAlaskaEnrollment IDO20120314000777Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Homer Eyecare LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Andrew Peter, O.D.

Optometry

NPI 1356660534

3726 LAKE ST
Homer, AK 99603

(907) 235-7745

✔ PECOS✔ Accepts MedicareSame address

Mario Cruz, OD

Optometry

NPI 1962926956

1000 WELLINGTON AVE STE A
Grand Junction, CO 81501

(970) 256-0400

✔ PECOS✔ Accepts Medicare2,339 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Homer Eyecare LLC's NPI number?

The NPI number for Homer Eyecare LLC is 1124397682. It was assigned to this organization in the NPPES registry on December 29, 2011.

Where is Homer Eyecare LLC located?

Homer Eyecare LLC is located at 3726 Lake St Suite A, Homer, AK 99603. The listed phone number is (907) 235-7745.

What is Homer Eyecare LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Homer Eyecare LLC enrolled in Medicare?

Yes. Homer Eyecare LLC is registered in the Medicare PECOS enrollment system.

When is Homer Eyecare LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alaska, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Homer Eyecare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Homer Eyecare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Homer Eyecare LLC accept?

Health plans from Moda Health Plan, Inc. list Homer Eyecare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Homer Eyecare LLC was last updated on December 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.