Larry D Breazeal in Spokane Valley - Optometrist
Larry D Breazeal - NPI 1619049228
Larry D Breazeal is a Optometrist in Spokane Valley, Washington. Larry D Breazeal practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Larry D Breazeal is 1619049228. The last update date is 2011-12-01.
Larry D Breazeal's current location address is 509 N Sullivan Rd Ste G, Spokane Valley, Washington. You can contact this provider via phone number 5099222400. The mailing address for Larry D Breazeal is 509 N Sullivan Rd Ste G, Spokane Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry D Breazeal |
|---|---|
| Address | 509 N Sullivan Rd Ste G, Spokane Valley, Washington |
| Phone Number | 5099222400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1619049228 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2011-12-01 |
Provider Mailing Address Detail
| Address | 509 N Sullivan Rd Ste G |
|---|---|
| City | Spokane Valley |
| State | Washington (WA) |
| Post Code | 990378566 |
| Phone Number | 5099222400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OD00003957 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2029890 | WA | -- | |
| 805604301 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Larry D Breazeal?
The Larry D Breazeal has been issued the NPI (National Provider Identifier) 1619049228 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Larry D Breazeal is physically located?
The Larry D Breazeal is physically situated at the following address: 509 N Sullivan Rd Ste G, Spokane Valley, WA, 990378566.
What is Larry D Breazeal's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry D Breazeal is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619049228 to Larry D Breazeal?
The Centers for Medicare & Medicaid Services assigned the 1619049228 to Larry D Breazeal on 2006-11-15.
As of what date were the details pertaining to Larry D Breazeal last refreshed?
The information related to the Larry D Breazeal, including its address, specialty, and other relevant details, was last updated on 2011-12-01.