Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lee Brock Wren, OD

Individual provider Optometrist · NPI 1215120696

Lee Brock Wren, OD is an Optometry in Blackfoot, Idaho. Graduated from Pacific University - College of Optometry in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
19
Trained at
Pacific University - College of Optometry
Licensed in
ID, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

715 W Judicial St
Blackfoot, ID 83221-2036
Phone: (208) 785-2210
Fax: (208) 785-2216
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100148 (ID)
Optometrist Taxonomy 152W00000X · Licence 66612099934 (UT)

Record details

NPI number1215120696
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 20, 2007
Last updated in NPPESSeptember 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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