Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEE BROCK WREN, OD
ActiveLEE BROCK WREN, OD is a Optometrist healthcare provider located in BLACKFOOT, Idaho. NPI 1215120696 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BLACKFOOT, ID
Registration Details
- NPI Number
- 1215120696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2007 (18.9595265702 yrs)
- Last Updated
- Sep 10, 2019
- Licenses
-
66612099934 (UT)ODP-100148 (ID)
Practice Information
- Address
-
715 W JUDICIAL STBLACKFOOT, ID, 832212036Browse ID providers · Browse ZIP 83221
- Phone
- 2087852210
- Fax
- 2087852216
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| DENNIS N MARSHALL | O.D., P.A. | 1477548220 |
| DR. FREDERICK GEORGE DOWNARD | O.D. | 1801997424 |
| MR. CODY E JONES | O.D. | 1255426912 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.