DR. Larry D Breazeal, O.D.

NPI #1619049228 in Hayden, Idaho

Provider Information

NPI Number
1619049228
Entity Type
Individual
Name
DR. Larry D Breazeal, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Nov 15, 2006
Last Updated
Mar 17, 2025

Practice Location

Address
8220 N CORNERSTONE DR STE A
City
Hayden
State
Idaho
ZIP Code
83835-8683
Phone
(208) 772-5539

Specialties & Taxonomy Codes

Specialty
Optometrist

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