Lee Brock Wren is a Optometrist in Blackfoot, Idaho. Lee Brock Wren practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lee Brock Wren is 1215120696. The last update date is 2019-09-10.
Lee Brock Wren's current location address is 715 W Judicial St, Blackfoot, Idaho. You can contact this provider via phone number 2087852210 and fax number 2087852216. The mailing address for Lee Brock Wren is 715 W Judicial St, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee Brock Wren |
|---|---|
| Address | 715 W Judicial St, Blackfoot, Idaho |
| Phone Number | 2087852210 |
| Fax Number | 2087852216 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1215120696 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2019-09-10 |
Provider Mailing Address Detail
| Address | 715 W Judicial St |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 832212036 |
| Phone Number | 2087852210 |
| Fax Number | 2087852216 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 66612099934 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1215120696 | ID | -- | |
| 66612099900001 | UT | BLUE CROSS/BLUE SHIELD | |
| 999000797009 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lee Brock Wren by the Centers for Medicare & Medicaid Services?
The Lee Brock Wren has been issued the NPI (National Provider Identifier) 1215120696, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lee Brock Wren is located?
The Lee Brock Wren is situated at the following address: 715 W Judicial St, Blackfoot, ID, 832212036.
What is Lee Brock Wren's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lee Brock Wren is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
When did the Lee Brock Wren receive its 1215120696?
The Lee Brock Wren was issued its 1215120696 on 2007-08-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Lee Brock Wren most recently updated or revised?
The information pertaining to Lee Brock Wren, including its address, specialty, and other relevant details, was last updated or revised on 2019-09-10.