NPIMap

Organization Active NPI

Dr. Gene Terrezza,O.D. & Associates,P.a.

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1467553040
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1196 Issued in FL
Legal business name
DR. GENE TERREZZA,O.D. & ASSOCIATES,P.A.
Practice address
800 N Fairfield Dr
Pensacola, FL 32506-4313
Phone
(850) 456-5059
Fax
(850) 456-0461
NPI assigned
Sep 26, 2006
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
Optometrist 152W00000X OPC1196 FL Primary

Addresses

Primary practice location

800 N Fairfield Dr
Pensacola, FL 32506-4313

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
620076105MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060224000637 FL Part B Supplier - Clinic/Group Practice 8123034329 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milton, FL; Pensacola, FL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1467553040",
    "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": "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": "DR. GENE TERREZZA,O.D. & ASSOCIATES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "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": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620076105",
            "state": "FL"
        }
    ],
    "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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.