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DR. LARRY D BREAZEAL O.D.
NPI 1619049228
Optometrist in Hayden, ID

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
8220 N CORNERSTONE DR STE A, HAYDEN, ID 83835(208) 772-5539(208) 772-9382 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Larry D Breazeal O.d. NPPES

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

DR. LARRY D BREAZEAL O.D. (NPI 1619049228) is an individual optometrist in Hayden, Idaho, licensed in Idaho (ODP-1014) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1999).

NPPES Registry Identity

NPI1619049228
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LARRY D BREAZEALCredential: O.D.
Location Address8220 N CORNERSTONE DR STE AHayden, ID 83835-8683
Mailing Address8220 N Cornerstone Dr Ste AHayden, ID 83835-8683 · (208) 659-9912 · Fax (208) 772-9382
Phone(208) 772-5539
Fax(208) 772-9382
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1999
Enumeration DateNovember 15, 2006
Last NPPES UpdateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
✔ NPI 1619049228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in ID · ODP-1014✔ Licensed in WA · OD00003957
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.
8220 N CORNERSTONE DR STE A, Hayden, ID 83835
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Other Identifiers 2

Medicaid2029890WA
Medicaid805604301ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Larry D Breazeal O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779496815
PECOS Enrollment IDI20031106000161
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
214 services167 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
186 services144 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
182 services72 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
126 services125 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
111 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. DANIELLE RAE JOHNSON OD
Optometrist
8220 N CORNERSTONE DR STE A
HAYDEN, ID 83835
Kootenai County (208) 772-5539
BREAZEAL & ASSOCIATES PA INC
Optometrist
8220 N CORNERSTONE DR STE A
HAYDEN, ID 83835
Kootenai County (208) 772-5539
DR. DANIEL LEO ADAMS DO
Optometrist
8220 N CORNERSTONE DR STE A
HAYDEN, ID 83835
Kootenai County (208) 772-5539

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 Breazeal's NPI number?

The NPI number for Larry Breazeal is 1619049228. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Larry Breazeal located?

Larry Breazeal practices at 8220 N Cornerstone Dr Ste A, Hayden, ID 83835. The listed phone number is (208) 772-5539.

What is Larry Breazeal's specialty?

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

Is Larry Breazeal enrolled in Medicare?

Yes. Larry Breazeal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Larry Breazeal accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Larry Breazeal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larry Breazeal was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.