Lee Brock Wren OD

  • NPI 1215120696
According to our database, the NPI number for Lee Brock Wren OD is 1215120696 and activated since 16 years ago. Lee Brock Wren OD is an individual provider who specializes in Optometrist, and the primary practice location is 715 W Judicial St, Blackfoot, ID 83221. You can also contact Lee Brock Wren OD via telephone number is (208) 785-2210. Provider NPI information was last updated on 09/10/2019.

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Overview of Lee Brock Wren OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/20/2007
  • Last updated: 09/10/2019

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: ODP-100148
  • License State: ID

Provider Mailing Address

  • Address: 715 W Judicial St
    Blackfoot, ID 83221
  • Phone: 208-785-2210
  • Fax: 208-785-2216

Provider Practice Location

  • Address: 715 W Judicial St
    Blackfoot, ID 83221
  • Phone: 208-785-2210
  • Fax: 208-785-2216

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: ODP-100148
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1215120696
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lee Brock Wren OD?
  • A: The npi number for Lee Brock Wren OD is 1215120696.
  • Q: What are Lee Brock Wren OD's specialties?
  • A: Lee Brock Wren OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for Lee Brock Wren OD?
  • A: The medical license number for Lee Brock Wren OD is ODP-100148 and issued in ID in USA.
  • Q: Where is Lee Brock Wren OD practice location?
  • A: Lee Brock Wren OD is practicing at 715 W Judicial St, Blackfoot, ID 83221.
  • Q: How to contact Lee Brock Wren OD?
  • A: You can contact Lee Brock Wren OD via 208-785-2210.