# GENE TERREZZA OD AND ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992990329
- **Authorized official:** JENNIFER DUKES (BILLING MANAGER)
- **Authorized official phone:** (850) 434-2060

## Contact information

- **Practice address:** 113 PALAFOX PL, PENSACOLA, FL 32502-5629
- **Practice address phone:** (850) 434-2060
- **Practice address fax:** (850) 434-1830
- **Mailing address:** 800 N FAIRFIELD DR, PENSACOLA, FL 32506-4313
- **Mailing address phone:** (850) 456-5059
- **Mailing address fax:** (850) 456-0461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 11/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 620076101 | — | FL |
| 01 | — | K4135A | MEDICARE GROUP ID | FL |