Eyecare Center Rexburg LLC
NPI 1477353902ActiveOrganization· Optometrist· Rexburg, ID
Optometrist in Rexburg, Idaho, registered in NPPES in March 2025, part of Popien Vision LLC. The authorized official on file is Melanie Clark, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477353902 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Popien Vision LLC |
| NPI issued | Mar 14, 2025 |
| Last updated in NPPES | Dec 8, 2025 |
| Certified by provider | Dec 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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