Eyecare Center Idaho Falls LLC
NPI 1568262111ActiveOrganization· Optometrist· Idaho Falls, ID
Optometrist in Idaho Falls, Idaho, registered in NPPES in March 2025, part of Popien Vision LLC. The authorized official on file is Melanie D. Clark, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568262111 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Popien Vision LLC |
| NPI issued | Mar 13, 2025 |
| Last updated in NPPES | Jul 9, 2025 |
| Certified by provider | Jun 11, 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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