Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY D BREAZEAL, O.D.
ActiveOptometrist · HAYDEN, ID
Registration Details
- NPI Number
- 1619049228
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.430563266924 yrs)
- Last Updated
- Mar 17, 2025
- Licenses
-
OD00003957 (WA)ODP-1014 (ID)
Practice Information
- Address
-
8220 N CORNERSTONE DR STE AHAYDEN, ID, 838358683Browse ID providers · Browse ZIP 83835
- Phone
- 2087725539
- Fax
- 2087729382
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in HAYDEN, ID
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT A SORENSEN | O.D. | 1356335897 |
| DR. ROBIN RAY LINDAUER | OD | 1740262765 |
| DR. DEBRA L. STOENNER | O.D | 1699870527 |
| KATHERINE MICHELE BAUGHMAN GLEASON | OD, FAAO | 1720227010 |
| DR. BRIAN PAUL FINLEY | O.D. | 1649571118 |
| KYLE ANDREW STOTT | O.D. | 1528418977 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.