Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Larry D Breazeal, OD

Individual provider Optometrist · NPI 1619049228

Dr. Larry D Breazeal, OD is an Optometry in Hayden, Idaho. Graduated from Pennsylvania College of Optometry in 1999, 27 years ago. Practices with Breazeal and Associates PA Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
27
Trained at
Pennsylvania College of Optometry
Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

8220 N Cornerstone Dr Ste A
Hayden, ID 83835-8683
Phone: (208) 772-5539
Fax: (208) 772-9382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-1014 (ID)
Optometrist Taxonomy 152W00000X · Licence OD00003957 (WA)

Record details

NPI number1619049228
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1999 (27 years in practice)
Group practice Breazeal And Associates Pa Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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