DR. LARRY D BREAZEAL (NPI# 1619049228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619049228 |
| Entity Type | Individual |
| Full Name | DR. LARRY D BREAZEAL |
| Credential | O.D. |
| Practice Address |
509 N Sullivan Rd Ste G Spokane Valley WA 99037-8566 |
| Practice Telephone | 5099222400 |
| Mailing Telephone | 5099222400 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | ODP-1014 | ID | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OD00003957 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2029890 | 05 | |
| ID | 805604301 | 05 |
| Street Address |
509 N SULLIVAN RD STE G |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99037-8566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427450030 | Tom & Anthony LLC | Optometrist | 509 N Sullivan Rd Ste G, Spokane Valley, WA 99037-8566 | 2014-09-25 |
| 1417158312 | Larry Breazel Od Pa | Optometrist | 509 N Sullivan Rd Ste G, Spokane Valley, WA 99037-8566 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364143 | Lighthouse Pt & Sports Medicine | Physical Medicine & Rehabilitation | 15413 E Valleyway, Building B-200, Spokane Valley, WA 99037 | 2020-10-23 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1639542061 | Timothy Richards | Physical Therapist | 15413 E Valleyway Ave, Spokane Valley, WA 99037 | 2015-11-06 |
| 1790055671 | Mark Miles Elmore | Counselor | 1120 N. Pines Rd, Suite C, Spokane Valley, WA 99037 | 2012-01-09 |
| 1578849402 | Gary Jack Schwander | Massage Therapist | 15404 E. Springfield Ave, Suite 100, Spokane Valley, WA 99037 | 2011-10-24 |
| 1811296189 | Jolee P Karr | Physical Therapy Assistant | 15425 E. Mission Ave, Spokane Valley, WA 99037 | 2011-03-25 |
| 1225369564 | Freedomcare of Wa, LLC | In Home Supportive Care | 13120 E 14th Ave, Spokane Valley, WA 99037 | 2010-01-27 |
| 1649507229 | Tiffany Ann Vanderpool | Massage Therapist | 325 S. Sullivan Rd, Spokane Valley, WA 99037 | 2009-11-03 |
| 1104059674 | Rachael Patricia Leonard | Massage Therapist | 325 S. Sullivan, Suite E, Spokane Valley, WA 99037 | 2009-08-31 |
| 1942432638 | Elements Therapeutic Massage-valley | Massage Therapist | 325 S Sullivan, Suite B, Spokane Valley, WA 99037 | 2009-08-14 |
| Find all providers in zip 99037 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447706957 | Justin Burgerson | Optometrist | 20 N Evergreen Rd # 102, Spokane Valley, WA 99216-5083 | 2016-08-26 |
| 1306288105 | Rikson Zollinger | Optometrist | 1120 N Pines Rd Ste C, Spokane Valley, WA 99206 | 2013-07-22 |
| 1154417038 | Jennifer Rae Schweitzer | Optometrist | 20 N Evergreen Rd, #102, Spokane Valley, WA 99216-5083 | 2006-10-05 |
| 1073565123 | Shopko Stores Operating Co. LLC | Optometrist | 13414 E Sprague Ave, Spokane Valley, WA 99216-0848 | 2006-05-17 |
| 1245281070 | Cajetan Cornel Marxer | Optometrist | 200 N Mullan Rd Ste 118, Spokane Valley, WA 99206-6827 | 2006-05-15 |
| 1003882226 | Dale Schnibbe | Optometrist | 12121 E Broadway Ave Ste 1, Spokane Valley, WA 99206-4972 | 2006-02-27 |
| 1841277472 | David S Kordish | Optometrist | 12209 E Mission Ave Ste 9, Spokane Valley, WA 99206-4824 | 2005-12-23 |
| 1457358657 | Nils W. Ohlsen | Optometrist | 15727 E Broadway Ave, Spokane Valley, WA 99037-9544 | 2005-07-01 |
| 1033696455 | Rachel A Gilles | Optometrist | 16201 E Indiana Ave Ste 5000, Spokane Valley, WA 99216-1883 | 2018-07-27 |
| 1932551975 | Emily Murphy Korszen | Optometrist | 16201 E Indiana Ave Ste 5000, Spokane Valley, WA 99216-1883 | 2016-07-01 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99037 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.