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Lee Brock Wren, OD
Optometrist in Blackfoot, Idaho
NPI 1215120696

Lee Brock Wren is a Optometrist based in Blackfoot, ID. Lee Brock Wren practices in Blackfoot, ID and has the professional credentials of OD. The NPI Number for Lee Brock Wren is 1215120696 and holds a License No. 66612099934 (Idaho).

The current practice location address for Lee Brock Wren is 715 W Judicial St, Blackfoot, ID and can be reached out via phone at 208-785-2210 and via fax at 208-785-2216.

Location: 715 W Judicial St, Blackfoot, ID, 83221-2036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215120696
Provider Name
Lee Brock Wren
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
715 W Judicial St, Blackfoot, ID, 83221-2036
Phone Number
208-785-2210
Fax Number
208-785-2216
Provider Enumeration Date
08/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215120696 05 ID
66612099900001 01 UT BLUE CROSS/BLUE SHIELD
999000797009 05 UT
institution
Provider Business Practice Location Address Details
Address
715 W Judicial St
City
Blackfoot
State
Idaho
Zip
83221-2036
Phone Number
208-785-2210
Fax Number
208-785-2216
person
Provider Business Mailing Address Details
Address
715 W Judicial St
City
Blackfoot
State
Idaho
Zip
83221-2036
Phone Number
208-785-2210
Fax Number
208-785-2216
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
66612099934 (Utah)
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
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