Melanie D Clark (NPI# 1689015075, PAC ID# 7214165257) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1689015075 |
| PAC ID by PECOS | 7214165257 |
| Professional Enrollment ID | I20140120000729 |
| Full Name | Melanie D Clark |
| Organization Legal Name | PORTER EYECARE PLLC |
| Address |
1480 E Lincoln Rd B Idaho Falls ID 83401-2128 |
| Phone Number | 2085258686 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0345407656 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1480 E Lincoln Rd, B, Idaho Falls, ID 83401-2128 | 2085258686 | PORTER EYECARE PLLC |
| Organization Legal Name | PORTER EYECARE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott David Hyatt | Optometry | Porter Eyecare Pllc | 1480 E Lincoln Rd, B, Idaho Falls, ID 83401-2128 |
| Lisa Porter | Optometry | Porter Eyecare Pllc | 1480 E Lincoln Rd, B, Idaho Falls, ID 83401-2128 |
| Street Address |
1480 E LINCOLN RD B |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83401-2128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott David Hyatt | Optometry | Porter Eyecare Pllc | 1480 E Lincoln Rd, B, Idaho Falls, ID 83401-2128 |
| Lisa Porter | Optometry | Porter Eyecare Pllc | 1480 E Lincoln Rd, B, Idaho Falls, ID 83401-2128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex Suarez | Clinical Social Worker | 1582 N Holmes Ave, Idaho Falls, ID 83401-2032 | |
| Rick G Goldman | Clinical Social Worker | 2647 E 14, Idaho Falls, ID 83401-2301 | |
| Caryl M Frugoli | Clinical Social Worker | 548 Lomax St, Idaho Falls, ID 83401-2634 | |
| Corene R Peterson | Clinical Social Worker | Joshua D. Smith and Associates, Inc. | 540 3rd St, Idaho Falls, ID 83401-3953 |
| Linda H Snell | Clinical Social Worker | Joshua D. Smith and Associates, Inc. | 540 3rd St, Idaho Falls, ID 83401-3953 |
| Larry A Calabro | Clinical Social Worker | Joshua D. Smith and Associates, Inc. | 540 3rd St, Idaho Falls, ID 83401-3953 |
| Ethan W Smith | Clinical Social Worker | Joshua D. Smith and Associates, Inc. | 540 3rd St, Idaho Falls, ID 83401-3953 |
| Joyce M Jones-hensen | Clinical Social Worker | Joshua D. Smith and Associates, Inc. | 540 3rd St, Idaho Falls, ID 83401-3953 |
| Lisa D Calderwood | Clinical Social Worker | 703 John Adams Pkwy, Idaho Falls, ID 83401-4023 | |
| Eric P Sayer | Chiropractic | 976 John Adams Pkwy, Idaho Falls, ID 83401-4049 | |
| Find all physicians in zip 83401 | |||
| City | IDAHO FALLS |
| Zip Code | 83401 |
| Specialty | OPTOMETRY |
| City + Specialty | IDAHO FALLS + OPTOMETRY |
Please comment or provide details below to improve the information on Melanie D Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.