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Organization

TRI COUNTY EYE CLINIC, PLLC

Active
Parent organization
TRI COUNTY EYE CLINIC, PLLC
Other names
Tri County Eye Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRI COUNTY EYE CLINIC, PLLC
Authorized official
DR. GREGORY EMILE BERTUCCI M.D. (OWNER/OPHTHALMOLOGIST)
(228) 385-2020
Entity
Organization

Contact information

Practice address
3430 BIENVILLE BOULEVARD, OCEAN SPRINGS, MS 39564-5732
(228) 875-6658
(228) 875-0809
Mailing address
431 BERTUCCI BOULEVARD, BILOXI, MS 39531-2255
(228) 385-2020
(228) 388-9435

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014787
MS
Enumeration date
03/26/2019
Last updated
05/25/2025
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