Organization Active NPI

DRS Carlson Terrezza and Associates Inc

  • Optometrist
  • Lithia, FL
National Provider Identifier
1851628036
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Nov 10, 2009

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

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 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.

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.

Verify at the official NPI Registry.