Healthcare Provider Details

I. General information

NPI: 1003733221
Provider Name (Legal Business Name): GENE TERREZZA OD AND ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BAPTIST WAY STE 12001300
PENSACOLA FL
32503-2200
US

IV. Provider business mailing address

113 PALAFOX PL
PENSACOLA FL
32502-5629
US

V. Phone/Fax

Practice location:
  • Phone: 850-407-9474
  • Fax: 850-407-9724
Mailing address:
  • Phone: 850-434-2060
  • Fax: 850-429-8215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER DUKES
Title or Position: BILLING MANAGER
Credential:
Phone: 850-434-2060