Individual provider Active NPI

Gene Terrezza, O.D.

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1295929933
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1196 Issued in FL
Practice address
113 Palafox PL
Pensacola, FL 32502-5629
Phone
(850) 456-5059
Fax
(850) 456-0461
NPI assigned
Sep 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1196 FL Primary

Addresses

Primary practice location

113 Palafox PL
Pensacola, FL 32502-5629

Mailing address

800 N Fairfield Dr
Pensacola, FL 32506-4313
Phone (850) 456-5059

Other identifiers 1

IdentifierTypeStateIssuer
0503900002OtherFLMEDICARE DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100913000859 AL Practitioner - Optometry 8123034337 Reassigns benefits to 2 organizations
I20121003000558 FL Practitioner - Optometry 8123034337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1974
Medicare assignment
May accept Medicare assignment
Group practices
Gene Terrezza OD and Associates PAGroup PAC ID 8123034329, 7 clinicians
Cobb and Terrezza OD PCGroup PAC ID 0749534634, 4 clinicians
Bell and Terrezza O.D., P.a.Group PAC ID 5092069229, 6 clinicians

Practice addresses (Care Compare)

113 Palafox PL
Pensacola, FL 32502-5629
Phone 8504342060213

309 N McKenzie St
Foley, AL 36535-3534
Phone (251) 943-5115

800 N Fairfield Dr
Pensacola, FL 32506-4313
Phone (850) 453-5059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC1196FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairhope Terrezza Group OD PC Optometrist CurrentSince Nov 26, 2024 Accepting new patients
Bell & Terrezza OD PA Optometrist CurrentSince Jul 10, 2018 Accepting new patients
Gene Terrezza OD and Associates PA Optometrist CurrentSince Sep 19, 2002 Accepting new patients
Gene Terrezza OD and Associates PA Optometrist Current Accepting new patients
Cobb and Terrezza OD PC Optometrist CurrentSince Sep 28, 2018 Accepting new patients
Bell & Terrezza O.D., P.a. Optometrist CurrentSince Jul 10, 2018 Accepting new patients
Eye Site of Crestivew PA Optometrist PastSince Oct 3, 2010 Accepting new patients

Locations

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

309 N McKenzie St
Foley, AL 36535
Phone (251) 943-5115

5593 Stewart St
Milton, FL 32570
Phone (850) 623-0319

8710 Beulah Rd
Pensacola, FL 32526
Phone (850) 944-1188

121 Baptist Way
Ste 12001300
Pensacola, FL 32503
Phone (850) 407-9474

800 N Fairfield Dr
Pensacola, FL 32506
Phone (850) 453-5059

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

Interoperability endpoints

  • FHIR API: https://eyesitecrestview.ef.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: gene.terrezza@direct.revolutionehr.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1295929933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N FAIRFIELD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325064313",
            "telephone_number": "850-456-5059",
            "fax_number": "850-456-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PALAFOX PL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025629",
            "telephone_number": "850-456-5059",
            "fax_number": "850-456-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERREZZA",
        "first_name": "GENE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0503900002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.