Dr Larry D Breazeal, OD | |
509 N Sullivan Rd Ste G, Spokane Valley, WA 99037-8566 | |
(509) 922-2400 | |
Not Available |
Full Name | Dr Larry D Breazeal |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 25 Years |
Location | 509 N Sullivan Rd Ste G, Spokane Valley, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619049228 | NPI | - | NPPES |
2029890 | Medicaid | WA | |
805604301 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD00003957 (Washington) | Primary |
152W00000X | Optometrist | ODP-1014 (Idaho) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Breazeal And Associates Pa Inc | 4789829367 | 2 |
Provider Name | Breazeal & Associates Pa Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295005056 PECOS PAC ID: 4789829367 Enrollment ID: O20130402000499 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry D Breazeal, OD 509 N Sullivan Rd Ste G, Spokane Valley, WA 99037-8566 Ph: (509) 922-2400 | Dr Larry D Breazeal, OD 509 N Sullivan Rd Ste G, Spokane Valley, WA 99037-8566 Ph: (509) 922-2400 |
Dr. Dale Schnibbe, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12121 E Broadway Ave Ste 1, Spokane Valley, WA 99206 Phone: 509-928-1212 Fax: 509-924-5035 | |
Dr. Rachel A Gilles, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16201 E Indiana Ave Ste 5000, Spokane Valley, WA 99216 Phone: 509-456-0107 Fax: 509-747-2635 | |
John Reidy O.d.,p.s. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5601 E Sprague Ave, Spokane Valley, WA 99212 Phone: 509-842-0001 | |
Mrs. Jessica N Couch, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16010 E Indiana Ave, Spokane Valley, WA 99216 Phone: 509-928-8040 | |
Shopko Optical 070 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13414 E Sprague Ave, Spokane Valley, WA 99216 Phone: 509-924-2015 | |
Nanette M Brisbane, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12209 E Mission Ave Ste 9, Spokane Valley, WA 99206 Phone: 509-443-3145 Fax: 509-443-3968 | |
Dr. Jennifer Rae Schweitzer, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20 N Evergreen Rd, #102, Spokane Valley, WA 99216 Phone: 509-924-5665 Fax: 509-922-9812 |