Dr. LARRY D BREAZEAL O.D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1619049228- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O.D.
- Status
- Active
Contact & Location
- Address
- 8220 N CORNERSTONE DR STE A, HAYDEN, ID, 838358683
- Phone
- (208) 772-5539
- Fax
- (208) 772-9382
Specialties & Taxonomies
Optometrist
License: WA #OD00003957
Optometrist
Primary License: ID #ODP-1014