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Larry Breazel Od PA

Optometrist in Spokane Valley, WA · enumerated 2007 · authorized official Larry Breazeal, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417158312

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Registry record

Entity type Organization (Type 2)
Legal business name Larry Breazel Od PA
Practice address 509 N Sullivan Rd Ste G, Spokane Valley, WA, 99037
Fax (509) 922-1577
Enumeration date May 29, 2007
Last updated in NPPES Jul 3, 2012

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 602451136 (WA) Primary

Authorized official

Name Larry Breazeal
Title Owner

Other identifiers

Identifier Type State Issuer
2029882 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Larry Breazel Od PA?
The NPI for Larry Breazel Od PA is 1417158312, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Larry Breazel Od PA?
NPPES lists Larry Breazeal (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-03.