Lee Brock Wren is a Blackfoot, Idaho based male Optometrist with 17 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 2007. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lee Brock Wren is ODP-100148 for Optometry in Idaho. Lee Brock Wren 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Lee Brock Wren speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
17+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2007
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
715 W Judicial St, Blackfoot, Idaho, 83221-2036
Phone:
208-785-2210
Fax:
208-785-2216
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7315025582
Enrollment ID:
I20110121000881
NPI Number:
1215120696
NPI Enumeration Date:
20 Aug, 2007
NPI Last Update On:
10 Sep, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lee Brock Wren are as mentioned below.
License Number
Specialization
State
Status
ODP-100148
Optometry
Idaho
Primary
66612099934
Optometry
Utah
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lee Brock Wren such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1215120696
Medicaid
Idaho
66612099900001
Other
Utah
BLUE CROSS/BLUE SHIELD
999000797009
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
715 W Judicial St, Blackfoot, Idaho
Zip:
83221-2036
Phone Number:
208-785-2210
Fax Number:
208-785-2216
Patients can reach Lee Brock Wren at 715 W Judicial St, Blackfoot, Idaho or can call to book an appointment on 208-785-2210. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.