Tri County Eye Clinic, PLLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

TRI COUNTY EYE CLINIC, PLLC

Practice address

15122 Dedeaux Rd
Gulfport, MS 39503-3120

Phone

(228) 832-1242

Fax

(228) 832-1285

NPI assigned

Feb 19, 2008

Reactivated

Mar 29, 2019

Last updated

Mar 29, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory Emile Bertucci, M.D.NPI 1699744482

Title

Owner/Ophthalmologist

Phone

(228) 385-2020

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Emile Bertucci, MD

  • Ophthalmology Physician
  • Biloxi, MS
  • NPI 1699744482
  NPD Authorized official
• Philip L Bertucci, MD

  • Ophthalmology Physician
  • Gulfport, MS
  • NPI 1194793299
  NPD
• Edward Langlow, MD

  • Ophthalmology Physician
  • Mandeville, LA
  • NPI 1407853401
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1538337902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15122 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033120",
            "telephone_number": "228-832-1242",
            "fax_number": "228-832-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15122 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033120",
            "telephone_number": "228-832-1242",
            "fax_number": "228-832-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY EYE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2019-03-29",
        "deactivation_date": "2018-05-14",
        "reactivation_date": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "BERTUCCI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EMILE",
        "authorized_official_title_or_position": "OWNER/OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "228-385-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tranquility Mental and Behavioral Health LLC
• Jennifer Leigh Trapani
• Monica E Trautman
• Robert Gordon Travnicek, MD MPH
• Sarah Elisabeth Treutel, LMSW
• Trinity Home Care LLC
• Triplett Day Drug Co Inc (Triplett Day Drug Company Inc)
• Arthur Tripp, DC
• Candice Trochesset, LMSW
• Troy W Farris LPC, LLC

• Corneal and Contact Management Optometrist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Corneal and Contact Management Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.