NPI 1013575851

Tyrel J Bruneel, OD

Practitioner Optometrist Hayden, ID

Practice location

Address: 8445 N Government Way, Hayden, ID 83835-9280
Phone: (208) 772-3208
Fax: (208) 762-2574

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP100469 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1013575851
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2019
Record last updated: 5 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.