Oscar H Corredor, O.D., F.A.A.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002444 Issued in IA

Practice address

113 Palafox PL
Pensacola, FL 32502

Phone

(850) 434-2060

Fax

(850) 429-8215

NPI assigned

Sep 26, 2006

Last updated

Oct 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gene Terrezza OD and Associates PAGroup PAC ID 8123034329, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gene Terrezza OD and Associates PA

  • Optometrist
  • Pensacola, FL
  • NPI 1992990329
  Medicare reassignment Care Compare group NPD
• Bell & Terrezza OD PA

  • Optometrist
  • Pensacola, FL
  • NPI 1558860445
  Medicare reassignment NPD
• Baptist Terrezza Group OD PA

  • Optometrist
  • Pensacola, FL
  • NPI 1659196293
  NPD
• Bell & Terrezza O.D., P.a.

  • Optometrist
  • Pensacola, FL
  • NPI 1972175495
  NPD
• Dr. Gene Terrezza,O.D. & Associates,P.a.

  • Optometrist
  • Pensacola, FL
  • NPI 1467553040
  NPD
• Gene Terrezza OD and Associates PA

  • Optometrist
  • Milton, FL
  • NPI 1902802911
  NPD
• Marion Eye Centers LTD.

  • Durable Medical Equipment & Medical Supplies
  • Sparta, IL
  • NPI 1982894465

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1275634800",
    "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": "113 PALAFOX PL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32502",
            "telephone_number": "850-434-2060",
            "fax_number": "850-429-8215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Independence Drive",
            "address_2": "14th Medical Group",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397100001",
            "country_code": "US",
            "telephone_number": "662-434-2292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Independence Drive",
            "address_2": "14th Medical Group",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397100001",
            "country_code": "US",
            "telephone_number": "662-434-2292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5593 Stewart St",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325704344",
            "country_code": "US",
            "telephone_number": "850-623-0319",
            "fax_number": "850-626-9686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325064313",
            "country_code": "US",
            "telephone_number": "850-456-5059",
            "fax_number": "850-456-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREDOR",
        "first_name": "OSCAR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2003027013",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002444",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103846800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPC5727",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.