MELANIE D CLARK

PORTER EYECARE PLLC

Dr MELANIE D CLARK is a female medical professional, specializing in Optometry. She graduated in 2013 from Ohio State University - College Of Optometry.

Contact

PORTER EYECARE PLLC

1480 E LINCOLN RD
B
IDAHO FALLS
ID
834012128

Tel: 2085258686

MELANIE D CLARK Information

Npi 1689015075
Pac Id 7214165257
Professional Enrollment Id I20140120000729
Last Name CLARK
First Name MELANIE
Middle Name D
Suffix
Gender F
Credential
Medical School Name OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 2013
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PORTER EYECARE PLLC
Group Practice Pac Id 0345407656
Number Of Group Practice Members 3
Line 1 Street Address 1480 E LINCOLN RD
Line 2 Street Address B
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834012128
Phone Number 2085258686
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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