DR. MELANIE DAWN CLARK (NPI# 1689015075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689015075 |
| Entity Type | Individual |
| Full Name | DR. MELANIE DAWN CLARK |
| Other Name | MELANIE DAWN POPIEN |
| Credential | O.D. |
| Practice Address |
1480 E Lincoln Rd Idaho Falls ID 83401-2128 |
| Mailing Address |
3731 E 100 N Rigby ID 83442-5612 |
| Practice Telephone | 2085258686 |
| Practice Fax Number | 2085258684 |
| Mailing Telephone | 2083516616 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP-100278 | ID | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732465 | Melanie A Clark | Psychiatry & Neurology | 930 Southern Ave, Kalamazoo, MI 49001-4337 | 2015-02-11 |
| 1912276320 | Melanie J. Clark | Speech-Language Pathologist | 1 Avondale Ave, North Hornell School, Hornell, NY 14843-1001 | 2011-12-14 |
| 1114201795 | Melanie Jo Clark | Nurse Practitioner | 7926 Preston Highway, Suite 106, Louisville, KY 40219-3848 | 2011-09-30 |
| 1164692711 | Melanie Helene Clark | Radiology | 4354a Old Shell Rd # 324, Mobile, AL 36608-2011 | 2008-03-10 |
| 1376556621 | Melanie Clark | Counselor | 1904 Royal Ave, Monroe, LA 71201 | 2006-08-15 |
| 1376190595 | Melanie Clark | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2019-08-22 |
| 1841721511 | Melanie Patrice Clark | Counselor | 3730 Kirby Drive, Suite 904, Houston, TX 77098 | 2017-03-24 |
| 1952781403 | Melanie Clark | Day Training/Habilitation Specialist | 805 Se 151st Ave, Portland, OR 97233-2916 | 2015-05-30 |
| 1306272687 | Melanie C Clark | Nurse Practitioner | 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | 2013-09-19 |
| 1225386139 | Melanie R Clark | Counselor | 603 Main St, Ashton, IL 61006-9230 | 2012-08-27 |
| Street Address |
1480 E LINCOLN RD |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524722 | Kenneth William King Jr. | Optometrist | 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 | 2005-08-04 |
| 1194174441 | Scott David Hyatt | Optometrist | 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 | 2016-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255898292 | Kreed Bowman Od Pllc | Optometrist | 250 S Skyline Dr Ste 6, Idaho Falls, ID 83402-3292 | 2019-02-26 |
| 1972089514 | John Wesley Porter | Optometrist | 3363 Merlin Dr, Idaho Falls, ID 83404-7405 | 2018-07-17 |
| 1720276371 | Keen Eye Family Vision Pa | Optometrist | 2540 Channing Way, Idaho Falls, ID 83404-7515 | 2007-10-09 |
| 1386842425 | Nathan G Kohler | Optometrist | 320 S Woodruff Ave, Idaho Falls, ID 83401-4329 | 2007-07-10 |
| 1477612273 | Owen M Shirts | Optometrist | 838 S Woodruff Ave, Idaho Falls, ID 83401-5296 | 2006-12-07 |
| 1912074741 | David Bryan Cook | Optometrist | 1340 S. Ammon Road, Idaho Falls, ID 83406 | 2006-11-29 |
| 1952477242 | Todd F Birch | Optometrist | 3351 Merlin Dr, Idaho Falls, ID 83404-7405 | 2006-11-28 |
| 1154493708 | Associated Westside Optometric Clinic P.a. | Optometrist | 1991 W Broadway St Ste 2, Idaho Falls, ID 83402-3041 | 2006-11-15 |
| 1881764678 | Jared Edgar Birch | Optometrist | 1689 Pancheri Dr, Idaho Falls, ID 83402-3041 | 2006-11-08 |
| 1245340314 | Jerry Blair Nave | Optometrist | 2550 S 25th E, Idaho Falls, ID 83404 | 2006-08-30 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on DR. MELANIE DAWN CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.