Lee Brock Wren, OD - Medicare Optometrist in Blackfoot, ID

Lee Brock Wren, OD is a medicare enrolled "Optometrist" provider in Blackfoot, Idaho. He went to Pacific University - College Of Optometry and graduated in 2007 and has 17 years of diverse experience with area of expertise as Optometry. His current practice location is 715 W Judicial St, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 785-2210.

Lee Brock Wren is licensed to practice in Idaho (license number ODP-100148) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215120696.

Contact Information

Lee Brock Wren, OD
715 W Judicial St,
Blackfoot, ID 83221-2036
(208) 785-2210
(208) 785-2216



Healthcare Provider's Profile

Full NameLee Brock Wren
GenderMale
SpecialityOptometry
Experience17 Years
Location715 W Judicial St, Blackfoot, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lee Brock Wren attended and graduated from Pacific University - College Of Optometry in 2007
  NPI Data:
  • NPI Number: 1215120696
  • Provider Enumeration Date: 08/20/2007
  • Last Update Date: 09/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7315025582
  • Enrollment ID: I20110121000881

Medical Identifiers

Medical identifiers for Lee Brock Wren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215120696NPI-NPPES
1215120696MedicaidID
66612099900001OtherUTBLUE CROSS/BLUE SHIELD
999000797009MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 66612099934 (Utah)Secondary
152W00000XOptometrist ODP-100148 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lee Brock Wren allows following entities to bill medicare on his behalf.
Provider NameBingham Family Vision Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1336624030
PECOS PAC ID: 7315287505
Enrollment ID: O20190326001826

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lee Brock Wren is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lee Brock Wren, OD
715 W Judicial St,
Blackfoot, ID 83221-2036

Ph: (208) 785-2210
Lee Brock Wren, OD
715 W Judicial St,
Blackfoot, ID 83221-2036

Ph: (208) 785-2210

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Optometrist in Blackfoot, ID

Mr. Cody E Jones, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 34 Se Main St, Ste 101, Blackfoot, ID 83221
Phone: 208-785-7274    Fax: 208-785-7337
Dr. Cameron Keith Housley, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 720 N Meridian St Ste A, Blackfoot, ID 83221
Phone: 208-785-7274    
Bingham Family Vision, Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 715 W Judicial St, Blackfoot, ID 83221
Phone: 208-785-2210    Fax: 208-785-2216
Dennis N Marshall, O.D., P.A.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1495 Parkway Dr Ste A, Blackfoot, ID 83221
Phone: 208-785-3063    Fax: 208-782-1392
Complete Family Eye Care, Pa
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 34 Se Main St Ste 101, Blackfoot, ID 83221
Phone: 208-785-7274    
Dennis N. Marshall, O.d., P.a.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1495 Parkway Dr Ste A, Blackfoot, ID 83221
Phone: 208-785-3063    Fax: 208-782-1392

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