Individual provider Active NPI

Maggie Martin, OD

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1760117170
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6412 Issued in FL
Practice address
800 N Fairfield Dr
Pensacola, FL 32506-4313
Phone
(850) 456-5059
Fax
(850) 456-0461
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6412 FL Primary
Optometrist 152W00000X TA2894 MD

Addresses

Primary practice location

800 N Fairfield Dr
Pensacola, FL 32506-4313

Mailing address

1531 Cadence Loop
Cantonment, FL 32533-4736

Other names 1

  • Maggie Briceland Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240828000129 FL Practitioner - Optometry 8022471770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gene Terrezza OD and Associates PAGroup PAC ID 8123034329, 7 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

8710 Beulah Rd
Pensacola, FL 32526-5326
Phone (850) 944-1188

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bell & Terrezza OD PA Optometrist CurrentSince Jun 16, 2024 Accepting new patients
Gene Terrezza OD and Associates PA Optometrist Current Accepting new patients
Dr. Gene Terrezza,O.D. & Associates,P.a. Optometrist CurrentSince Jun 16, 2024 Accepting new patients
Bell & Terrezza O.D., P.a. Optometrist CurrentSince Jun 16, 2024 Accepting new patients
Gene Terrezza OD and Associates PA Optometrist CurrentSince Jun 16, 2024 Accepting new patients

Locations

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

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

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

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

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

Organizations & group practices 5

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1760117170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 CADENCE LOOP",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325334736"
        },
        {
            "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": {
        "last_name": "MARTIN",
        "first_name": "MAGGIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6412",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "BRICELAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.