Search › Idaho › 152W00000X
Larry Breazeal, O.D
NPI 1619049228 · on the registry since 2006
Practice
- Address
- 8220 N Cornerstone Dr Ste A
Hayden, ID 83835 - Phone
- (208) 772-5539
- Fax
- (208) 772-9382
- Organisation at this address
- Breazeal & Associates Pa Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-17
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