Search › Idaho › 152W00000X
Lee Wren, OD
NPI 1215120696 · on the registry since 2007
Practice
- Address
- 715 W Judicial St
Blackfoot, ID 83221 - Phone
- (208) 785-2210
- Fax
- (208) 785-2216
- Organisation at this address
- Bingham Family Vision, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho