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L. BROCK WREN OD PLLC
NPI 1114220936
Optometrist in Boise, ID

Active since December 16, 2010
350 N MILWAUKEE ST, STE 1188, BOISE, ID 83704(208) 376-0893(208) 376-3029 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About L. Brock Wren Od Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

L. BROCK WREN OD PLLC (NPI 1114220936) is a healthcare organization registered as an optometrist in Boise, Idaho and active in the NPI registry since December 2010. The organization lists Lee Brock Wren, Owner, as its authorized official.

NPPES Registry Identity

NPI1114220936
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameL. BROCK WREN OD PLLC
Location Address350 N MILWAUKEE ST, STE 1188Boise, ID 83704-9123
Mailing Address350 N Milwaukee St, Ste 1188Boise, ID 83704-9123 · (208) 376-0893 · Fax (208) 376-3029
Phone(208) 376-0893
Fax(208) 376-3029
Organization SubpartNo
Authorized OfficialLee Brock WrenOwner · (208) 376-0893
Enumeration DateDecember 16, 2010
✔ NPI 1114220936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ID · ODP-100148
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.
350 N MILWAUKEE ST, Boise, ID 83704
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Other Identifiers 1

Medicaid808643800ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYEMASTERS INC
Eyewear Supplier
350 N MILWAUKEE ST
BOISE, ID 83704
Ada County (208) 322-2933
LANCE F OUGH O.D.
Optometrist (Corneal and Contact Management)
350 N MILWAUKEE ST, #2153
BOISE, ID 83704
Ada County (208) 322-1642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is L. Brock Wren Od PLLC's NPI number?

The NPI number for L. Brock Wren Od PLLC is 1114220936. It was assigned to this organization in the NPPES registry on December 16, 2010.

Where is L. Brock Wren Od PLLC located?

L. Brock Wren Od PLLC is located at 350 N Milwaukee St Ste 1188, Boise, ID 83704. The listed phone number is (208) 376-0893.

What is L. Brock Wren Od PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for L. Brock Wren Od PLLC was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.