Merrell Eyecare Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP813 Issued in ID

Legal business name

MERRELL EYECARE CENTER INC

Practice address

345 N 2ND E Ste 1
Rexburg, ID 83440-1603

Phone

(208) 359-2020

Fax

(208) 534-9997

NPI assigned

Feb 17, 2011

Last updated

Mar 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marshall H Merrell, O.D.NPI 1992894232

Title

Owner

Phone

(208) 359-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Marshall H Merrell, O.D.

  • Optometrist
  • Rexburg, ID
  • NPI 1992894232
  Authorized official Same address or phone
• Melanie Dawn Clark, O.D.

  • Optometrist
  • Idaho Falls, ID
  • NPI 1689015075
  NPD
• Michael Robert Merrell, DDS

  • Dentist
  • Rexburg, ID
  • NPI 1972516607
  NPD (past)

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1245537885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N 2ND E STE 1",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401603",
            "telephone_number": "208-359-2020",
            "fax_number": "208-534-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N 2ND E STE 1",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401603",
            "telephone_number": "208-359-2020",
            "fax_number": "208-534-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRELL EYECARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-359-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992894232",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Leigh Meldrum, LMSW
• Mellor Chiropractic Clinic P.a.
• Stephen Paul Mellor, D.C.
• Rex Allen Meredith, PA-C
• Robert E. Meredith, DO
• Marshall H Merrell, O.D.
• Michael Robert Merrell, DDS
• Dillon Rhet Merrill, MOTRL
• Mitch Clay Merrill, O.D.
• Nicole Meyer

• Optometrist in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.