Organization
BREAZEAL & ASSOCIATES PA INC
Active
Other names
Eyeguys Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY D BREAZEAL OD (PRESIDENT)
(208) 772-5539
Entity
Organization
Contact information
Practice address
8220 N CORNERSTONE DR STE A, HAYDEN, ID 83835-8683
(208) 772-5539
(208) 772-9382
Mailing address
8220 N CORNERSTONE DR STE A, HAYDEN, ID 83835-8683
(208) 772-5539
(208) 772-9382
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-1014
ID
Other
Enumeration date
01/10/2012
Last updated
03/17/2025
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