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Organization

TRI COUNTY EYE CLINIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY EMILE BERTUCCI M.D. (OPHTHALMOLOGIST/OWNER)
(228) 385-2020
Entity
Organization

Contact information

Practice address
431 BERTUCCI BLVD, BILOXI, MS 39531-2255
(228) 385-2020
(228) 388-9435
Mailing address
431 BERTUCCI BLVD, BILOXI, MS 39531-2255
(228) 385-2020
(228) 388-9435

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
MS
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014787
MS
Enumeration date
02/09/2006
Last updated
05/25/2025
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