MEDICARE: GENE TERREZZA OD AND ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC1196	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902802911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENE TERREZZA OD AND ASSOCIATES PA

Provider Business Mailing Address
First Line	:	113 PALAFOX PL
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32502-5629
Country	:	US
Telephone Number	:	850-434-2060
Fax Number	:	850-429-8215

Provider Business Practice Location Address
First Line	:	5593 STEWART ST
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32570-4344
Country	:	US
Telephone Number	:	850-623-0319
Fax Number	:	850-626-9686

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	JENNIFER DUKES
Credential	:
Telephone Number	:	850-434-2060

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	01/05/2026

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