Tyrel J Bruneel
Optometrist
8445 N Government Way
Hayden
, Idaho 83835-9280
Tyrel J Bruneel
Optometrist
8445 N Government Way
Hayden
, Idaho 83835-9280
(208) 762-2574
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Tyrel J Bruneel
- 8445 N Government Way
- Hayden, ID
- Zip : 83835-9280
- Fax : (208) 762-2574
- Phone : (208) 772-3208
Second Address
- Tyrel J Bruneel
- 8445 N Government Way
- Hayden, ID
- Zip : 83835-9280
- Fax : (208) 762-2574
- Phone : (208) 772-3208
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP100469 | ID |
National Provider Identifier
| NPI | 1013575851 |
|---|---|
| Provider Name | Tyrel J Bruneel |
| First Address | Hayden, ID 83835-9280 |
| Second Address | Hayden, ID 83835-9280 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2019 |
| Last Update Date | 05/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.