Organization Active NPI

Gene Terrezza OD and Associates.,PA

  • Optometrist
  • Fairhope, AL
National Provider Identifier
1154146702
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GENE TERREZZA OD AND ASSOCIATES.,PA
Practice address
101 Fly Creek Ave Ste 305
Fairhope, AL 36532-8310
Phone
(251) 383-2052
Fax
(251) 383-2062
NPI assigned
Nov 19, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Dukes
Title
Billing Manager
Phone
(850) 434-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

101 Fly Creek Ave Ste 305
Fairhope, AL 36532-8310

Mailing address

113 Palafox PL
Pensacola, FL 32502-5629
Phone (850) 434-2060

National Provider Directory

National Provider Directory
Tax ID family
Dr Gene Terrezzaod Associatespa8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Fly Creek Ave
Ste 305
Fairhope, AL 36532
Phone (251) 383-2052

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1154146702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PALAFOX PL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025629",
            "telephone_number": "850-434-2060",
            "fax_number": "850-429-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FLY CREEK AVE STE 305",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328310",
            "telephone_number": "251-383-2052",
            "fax_number": "251-383-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE TERREZZA OD AND ASSOCIATES.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "850-434-2060"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.