Eyecare Center Idaho Falls LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE CENTER IDAHO FALLS LLC

Practice address

3363 Merlin Dr
Idaho Falls, ID 83404-7405

Phone

(208) 523-0330

NPI assigned

Mar 13, 2025

Last updated

Jul 9, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

POPIEN VISION LLCAs reported in NPPES

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

Authorized official

Name

Dr. Melanie D Clark, ODNPI 1689015075

Title

Owner

Phone

(208) 523-0330

Specialties & licenses 1

Addresses

Other names 1

• Merrell Eyecare Center Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 4

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.

• Melanie Dawn Clark, O.D.

  • Optometrist
  • Idaho Falls, ID
  • NPI 1689015075
  Medicare reassignment NPD Authorized official
• Marshall H Merrell, O.D.

  • Optometrist
  • Rexburg, ID
  • NPI 1992894232
  Medicare reassignment NPD
• John Wesley Porter, OD

  • Optometrist
  • Idaho Falls, ID
  • NPI 1972089514
  NPD
• Jason Porter Merrell, OD

  • Optometrist
  • Mesa, AZ
  • NPI 1861922601
  NPD (past)

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1568262111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N 4010 E",
            "address_2": "ATTN. MELANIE CLARK",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "83442",
            "telephone_number": "208-351-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 MERLIN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047405",
            "telephone_number": "208-523-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE CENTER IDAHO FALLS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POPIEN VISION LLC",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-523-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrell Eyecare Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Merrell Eyecare Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Excellence in Dentistry PA
• Excellence in Medicine Inc (Southeast Idaho Sleep DME)
• Excellence in Medicine Inc (Southeast Idaho Sleep DME)
• Eye Clinic of Idaho Falls,PA
• Eyeball LLC (Ridgeline EyeCare)
• Eyedaho Optometric LLC
• Eyedaho Optometric LLC
• Eyemart Express LLC
• Eyemart Express LTD
• Falls Medical Aesthetics, PLLC (Idaho Skin Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.