Fairhope Terrezza Group Od PC
NPI 1972358091ActiveOrganization· Optometrist· Fairhope, AL
Optometrist in Fairhope, Alabama, registered in NPPES in April 2024. The authorized official on file is Jennifer J. Dukes, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972358091 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 22, 2024 |
| Last updated in NPPES | Apr 22, 2024 |
| Certified by provider | Apr 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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