Eyecare Center Idaho Falls LLC
NPI #1568262111 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1568262111
- Entity Type
- Organization
- Organization Name
- Eyecare Center Idaho Falls LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- POPIEN VISION LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 13, 2025
- Last Updated
- Jul 9, 2025
Practice Location
- Address
- 3363 MERLIN DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7405
- Phone
- (208) 523-0330
Authorized Official
- Name
- DR. MELANIE D CLARK, OD
- Title
- OWNER
- Phone
- (208) 523-0330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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