Breazeal & Associates PA Inc
NPI 1295005056ActiveOrganization· Optometrist· Hayden, ID
Optometrist in Hayden, Idaho, registered in NPPES in January 2012. The authorized official on file is Larry D. Breazeal, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295005056 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2012 |
| Last updated in NPPES | Mar 17, 2025 |
| Certified by provider | Mar 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODP-1014 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Optometrist providers in Hayden
- 1629427372
- 1548999840
- 1780345264
- 1396238689
- 1619049228
- 1013575851
- 1649571118
- 1720227010
- 1023637733
- 1740262765
- 1912524513
- 1356335897