| NPI | 1295005056 |
|---|---|
| Doing Business As | EYEGUYS OPTICAL |
| Entity Type | Organization |
| Authorized Contact | LARRY D BREAZEAL President 208-772-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-1014) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-10-12 |