Individual
DR. MELANIE DAWN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3363 MERLIN DR, IDAHO FALLS, ID 83404-7405
(208) 523-0330
(208) 534-9997
Mailing address
128 N 4010 E, RIGBY, ID 83442-5787
(208) 351-6616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100278
ID
224P00000X
Prosthetist
—
—
Other
Enumeration date
07/12/2013
Last updated
07/09/2025
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