Organization
BERTUCCI EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP L BERTUCCI MD (OWNER)
(228) 380-4441
Entity
Organization
Contact information
Practice address
15122 DEDEAUX RD, GULFPORT, MS 39503-3120
(228) 832-1242
(228) 832-1285
Mailing address
15122 DEDEAUX RD, GULFPORT, MS 39503-3120
(228) 832-1242
(228) 832-1285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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