NPIMap

Organization Active NPI

DRS Carlson, Hollis, & Terrezza and Associates, Inc

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1396060083
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DRS CARLSON, HOLLIS, & TERREZZA AND ASSOCIATES, INC
Practice address
800 N Fairfield Dr
Pensacola, FL 32506-4313
Phone
(850) 456-5059
Fax
(850) 456-0461
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Jennifer J Dukes
Title
Insurance Manager
Phone
(850) 456-5059

Specialties & licenses 1

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

Addresses

Primary practice location

800 N Fairfield Dr
Pensacola, FL 32506-4313

Mailing address

1815 E Fowler Ave
Tampa, FL 33612-5525
Phone (813) 979-2929

National Provider Directory

National Provider Directory
Tax ID family
DRS Carlson Hollis Terrezza and Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1396060083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125525",
            "telephone_number": "813-979-2929",
            "fax_number": "813-979-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS CARLSON, HOLLIS, & TERREZZA AND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "850-456-5059"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.