Fairhope Terrezza Group OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FAIRHOPE TERREZZA GROUP OD PC

Practice address

101 Fly Creek Ave Ste 305
Fairhope, AL 36532-8310

Phone

(850) 434-2060

Fax

(850) 429-8215

NPI assigned

Apr 22, 2024

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer J Dukes

Title

Billing Manager

Phone

(850) 434-2060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 6

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.

• Zackary Elkins, OD

  • Optometrist
  • Fairhope, AL
  • NPI 1114410040
  Medicare reassignment NPD
• Karlee Johnson

  • Optometrist
  • Pensacola, FL
  • NPI 1770327116

  AL

  Medicare reassignment NPD
• Andrew Munther Sahawneh, OD

  • Optometrist
  • Pensacola, FL
  • NPI 1356844187

  AL

  Medicare reassignment NPD
• Gene Terrezza, O.D.

  • Optometrist
  • Pensacola, FL
  • NPI 1295929933

  AL

  Medicare reassignment NPD
• Troy Bell, OD

  • Optometrist
  • Pace, FL
  • NPI 1174537690
  NPD
• Hannah Marie Sahawneh, O.D.

  • Optometrist
  • Pensacola, FL
  • NPI 1992290191
  NPD

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1972358091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PALAFOX PL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025629",
            "telephone_number": "850-434-2060",
            "fax_number": "850-429-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FLY CREEK AVE STE 305",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328310",
            "telephone_number": "850-434-2060",
            "fax_number": "850-429-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHOPE TERREZZA GROUP OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "850-434-2060"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairhope Pediatrics, Inc.
• Fairhope Pharmacy Inc.
• Fairhope Physical Therapy Services, Inc.
• Fairhope Residential LLC
• Fairhope Smiles, P.C.
• Fairhope Urology, PC
• Fairhope Vein Treatment Center
• Family Care at Home. LLC
• Family First Caregivers
• Family Medicine Specialist LLC

• Optometrist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.