| Larry Breazel Od Pa | |
|
509 N Sullivan Rd Ste G, Spokane Valley, WA 99037-8566 | |
| (509) 922-2400 | |
| (509) 922-1577 |
| Full Name | Larry Breazel Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 509 N Sullivan Rd Ste G, Spokane Valley, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417158312 | NPI | - | NPPES |
| 2029882 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 602451136 (Washington) | Primary |
| Provider Name | Larry D Breazeal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619049228 PECOS PAC ID: 3779496815 Enrollment ID: I20050318000189 |
| Provider Name | Michelle A Darnell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417302258 PECOS PAC ID: 3779870514 Enrollment ID: I20160922001436 |
| Provider Name | Jeannie Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790138329 PECOS PAC ID: 9739476458 Enrollment ID: I20160923001468 |
| Provider Name | Daniel Leo Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396238689 PECOS PAC ID: 3274965108 Enrollment ID: I20191115000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Breazel Od Pa 509 N Sullivan Rd Ste G, Spokane Valley, WA 99037-8566 Ph: (509) 922-2400 | Larry Breazel Od Pa 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 |