Organization
TRI COUNTY EYE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY EMILE BERTUCCI M.D. (OWNER/OPHTHALMOLOGIST)
(228) 385-2020
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
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
03/29/2019
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