LEE BROCK WREN OD
NPI 1215120696
Optometrist in Blackfoot, ID

Active since August 20, 2007PECOS EnrolledAccepts Medicare Assignment
715 W JUDICIAL ST, BLACKFOOT, ID 83221(208) 785-2210(208) 785-2216 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lee Brock Wren Od NPPES

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

LEE BROCK WREN OD (NPI 1215120696) is an individual optometrist in Blackfoot, Idaho, licensed in Idaho (ODP-100148) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2007).

NPPES Registry Identity

NPI1215120696
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLEE BROCK WRENCredential: OD
Location Address715 W JUDICIAL STBlackfoot, ID 83221-2036
Mailing Address715 W Judicial StBlackfoot, ID 83221-2036 · (208) 785-2210 · Fax (208) 785-2216
Fax(208) 785-2216
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2007
Enumeration DateAugust 20, 2007
Last NPPES UpdateSeptember 10, 2019
NPI 1215120696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in ID · ODP-100148 Licensed in UT · 66612099934
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.

715 W JUDICIAL ST, Blackfoot, ID 83221

Other Identifiers 3

Other66612099900001UT · Blue Cross/blue Shield
Medicaid999000797009UT
Medicaid1215120696ID

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lee Brock Wren Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315025582
PECOS Enrollment IDI20110121000881
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
80 services80 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Optometrist
715 W JUDICIAL ST
BLACKFOOT, ID 83221

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 Lee Wren's NPI number?

The NPI number for Lee Wren is 1215120696. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Where is Lee Wren located?

Lee Wren practices at 715 W Judicial St, Blackfoot, ID 83221. The listed phone number is (208) 785-2210.

What is Lee Wren's specialty?

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

Is Lee Wren enrolled in Medicare?

Yes. Lee Wren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lee Wren accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Moda Health Plan, Inc. and 2 other insurers list Lee Wren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lee Wren was last updated on September 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.