Active NPI
DRS Carlson Terrezza and Associates Inc
- Optometrist
- Lithia, FL
National Provider Identifier
1851628036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DRS CARLSON TERREZZA AND ASSOCIATES INC
- Practice address
- 10423 County Road 39 S
Lithia, FL 33547-2864 - Phone
- (813) 737-1122
- Fax
- (850) 456-0461
- NPI assigned
- Nov 10, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
10423 County Road 39 S
Lithia, FL 33547-2864
Mailing address
800 N Fairfield Dr
Pensacola, FL 32506-4313
Phone (850) 456-5059
National Provider Directory
National Provider Directory- Tax ID family
- DRS Carlson Hollis Terrezza and Associates Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Pensacola, FL
- NPI 1396060083
Locations
10423 S County Road 39
Lithia, FL 33547
Phone (813) 737-1122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257811200000",
"number": "1851628036",
"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": "10423 COUNTY ROAD 39 S",
"city": "LITHIA",
"state": "FL",
"postal_code": "335472864",
"telephone_number": "813-737-1122",
"fax_number": "850-456-0461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS CARLSON TERREZZA AND ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-10",
"last_updated": "2009-11-10",
"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 Lithia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.