NPI 1114220936

L. Brock Wren OD PLLC

Organisation Optometrist Boise, ID

Practice location

Address: 350 N Milwaukee St STE 1188, Boise, ID 83704-9123
Phone: (208) 376-0893
Fax: (208) 376-3029

Authorised official

Name: Lee Brock Wren
Title: Owner
Phone: (208) 376-0893

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100148 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1114220936
Entity type: Organization
NPI issued: 16 Dec 2010
Record last updated: 16 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.