Richard I Breazeale in Knoxville - Retina Specialist
Richard I Breazeale - NPI 1801892146
Richard I Breazeale is a Retina Specialist in Knoxville, Tennessee. Richard I Breazeale practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Richard I Breazeale is 1801892146. The last update date is 2020-12-03.
Richard I Breazeale's current location address is 320 Prosperity Dr, Knoxville, Tennessee. You can contact this provider via phone number 4237561512 and fax number 4237561004. The mailing address for Richard I Breazeale is 320 Prosperity Dr, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard I Breazeale |
|---|---|
| Address | 320 Prosperity Dr, Knoxville, Tennessee |
| Phone Number | 4237561512 |
| Fax Number | 4237561004 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1801892146 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2020-12-03 |
Provider Mailing Address Detail
| Address | 320 Prosperity Dr |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379234709 |
| Phone Number | 4237561512 |
| Fax Number | 4237561004 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 56089 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000860318C | GA | -- | |
| 9937405 | AL | -- | |
| 3841514 | TN | -- | |
| 000860318E | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Richard I Breazeale by the Centers for Medicare & Medicaid Services?
The Richard I Breazeale has been assigned the NPI (National Provider Identifier) 1801892146. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Richard I Breazeale is located?
The Richard I Breazeale is situated at the following address: 320 Prosperity Dr, Knoxville, TN, 379234709.
What is Richard I Breazeale's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Richard I Breazeale is Retina Specialist, and the taxonomy classification code that categorizes this area of expertise is 207Wx0107X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801892146 to Richard I Breazeale?
The Centers for Medicare & Medicaid Services originally issued the 1801892146 to Richard I Breazeale on 2005-06-22.
When was the information pertaining to Richard I Breazeale most recently updated or revised?
The details related to Richard I Breazeale, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-03.
NPI Number: 1962405878
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