LARRY BREAZEL OD PA
NPI 1417158312
Optometrist in Spokane Valley, WA

Active since May 29, 2007
509 N SULLIVAN RD STE G, SPOKANE VALLEY, WA 99037(509) 922-2400(509) 922-1577 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larry Breazel Od Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY BREAZEL OD PA (NPI 1417158312) is a healthcare organization registered as an optometrist in Spokane Valley, Washington and active in the NPI registry since May 2007. The organization lists Larry D Breazeal, Owner, as its authorized official.

NPPES Registry Identity

NPI1417158312
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLARRY BREAZEL OD PA
Location Address509 N SULLIVAN RD STE GSpokane Valley, WA 99037-8566
Mailing Address509 N Sullivan Rd Ste GSpokane Valley, WA 99037-8566 · (509) 922-2400 · Fax (509) 922-1577
Fax(509) 922-1577
Organization SubpartNo
Authorized OfficialLarry D BreazealOwner · (509) 922-2400
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 3, 2012
NPI 1417158312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WA · 602451136
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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

509 N SULLIVAN RD STE G, Spokane Valley, WA 99037

Other Identifiers 2

Medicare ID-Type UnspecifiedG8851726WA · Group Number
Medicaid2029882WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
509 N SULLIVAN RD STE G
SPOKANE VALLEY, WA 99037
Optometrist
509 N SULLIVAN RD STE G
SPOKANE VALLEY, WA 99037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Breazel Od PA's NPI number?

The NPI number for Larry Breazel Od PA is 1417158312. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Larry Breazel Od PA located?

Larry Breazel Od PA is located at 509 N Sullivan Rd Ste G, Spokane Valley, WA 99037. The listed phone number is (509) 922-2400.

What is Larry Breazel Od PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Larry Breazel Od PA was last updated on July 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.