| NPI | 1568262111 |
|---|---|
| Former Legal Business Name | MERRELL EYECARE CENTER INC |
| Entity Type | Organization |
| Authorized Contact | MELANIE D CLARK Owner 208-523-0330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-07-09 |