Dr Larry D Breazeal, OD in Hayden, ID - Medicare Optometry Provider

Dr Larry D Breazeal, OD is a medicare enrolled "Optometrist" provider in Hayden, Idaho. He went to Pennsylvania College Of Optometry and graduated in 1999 and has 26 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Breazeal And Associates Pa Inc and his current practice location is 8220 N Cornerstone Dr Ste A, Hayden, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 772-5539.

Dr Larry D Breazeal is licensed to practice in Idaho (license number ODP-1014) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619049228.

Contact Information

	Dr Larry D Breazeal, OD
	8220 N Cornerstone Dr Ste A, Hayden, ID 83835-8683
	(208) 772-5539
	(208) 772-9382

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Larry D Breazeal
Gender	Male
Speciality	Optometry
Experience	26 Years
Location	8220 N Cornerstone Dr Ste A, Hayden, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Larry D Breazeal attended and graduated from Pennsylvania College Of Optometry in 1999

NPI Data:

NPI Number: 1619049228
Provider Enumeration Date: 11/15/2006
Last Update Date: 03/17/2025

Medicare PECOS Information:

PECOS PAC ID: 3779496815
Enrollment ID: I20031106000161

Medical Identifiers

Medical identifiers for Dr Larry D Breazeal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619049228	NPI	-	NPPES
2029890	Medicaid	WA
805604301	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD00003957 (Washington)	Secondary
152W00000X	Optometrist	ODP-1014 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Breazeal And Associates Pa Inc	4789829367	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Larry D Breazeal allows following entities to bill medicare on his behalf.

Provider Name	Breazeal & Associates Pa Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295005056 PECOS PAC ID: 4789829367 Enrollment ID: O20130402000499

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Larry D Breazeal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Larry D Breazeal, OD 8220 N Cornerstone Dr Ste A, Hayden, ID 83835-8683 Ph: (208) 659-9912	Dr Larry D Breazeal, OD 8220 N Cornerstone Dr Ste A, Hayden, ID 83835-8683 Ph: (208) 772-5539

Reviews and Comments

Optometrist in Hayden, ID

Tyrel J Bruneel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574
Dr. Danielle Rae Johnson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8220 N Cornerstone Dr Ste A, Hayden, ID 83835 Phone: 208-772-5539
Breazeal & Associates Pa Inc Optometrist Medicare: Medicare Enrolled Practice Location: 8220 N Cornerstone Dr Ste A, Hayden, ID 83835 Phone: 208-772-5539 Fax: 208-772-9382
Dr. Robert A Sorensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574
Dr. Daniel Leo Adams, DO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8220 N Cornerstone Dr Ste A, Hayden, ID 83835 Phone: 208-772-5539
Kyle Andrew Stott, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574
Hayden Vision Source Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574

Dr Larry D Breazeal, OD - Medicare Optometrist in Hayden, ID