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The Eyecare Center Rexburg LLC

Company Details

Name: The Eyecare Center Rexburg LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Jan 2025 (5 months ago)
Financial Date End: 31 Jan 2026
Entity Number: 6045213
Place of Formation: IDAHO
File Number: 970667
ZIP code: 83440
County: Madison County
Mailing Address: 128 N 4010 E RIGBY, ID 83442-5787
Principal Address: #1 345 N 2ND E REXBURG, ID 83440

Agent

Name Role Address
Melanie D Clark Agent 128 N 4010 E, RIGBY, ID 83442

National Provider Identifier

NPI Number:
1477353902
Certification Date:
2025-04-24

Authorized Person:

Name:
DR. MELANIE CLARK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152WC0802X - Corneal and Contact Management Optometrist
Is Primary:
No
Selected Taxonomy:
152WP0200X - Pediatric Optometrist
Is Primary:
No
Selected Taxonomy:
152WV0400X - Vision Therapy Optometrist
Is Primary:
No
Selected Taxonomy:
152WX0102X - Occupational Vision Optometrist
Is Primary:
No
Selected Taxonomy:
156FC0800X - Contact Lens Technician/Technologist
Is Primary:
No

Contacts:

Fax:
2082649454

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006071882 2025-01-15
Initial Filing 0006045213 2025-01-03

Date of last update: 23 May 2025

Sources: Idaho Secretary of State