Active NPI
Tri County Eye Clinic, PLLC
Doing business as Tri County Eye Clinic
- Ophthalmology Physician
- Ocean Springs, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- TRI COUNTY EYE CLINIC, PLLC
- Doing business as
- Tri County Eye Clinic
- Practice address
- 3430 Bienville Boulevard
Ocean Springs, MS 39564-5732 - Phone
- (228) 875-6658
- Fax
- (228) 875-0809
- NPI assigned
- Mar 26, 2019
- Last updated
- May 25, 2025
- Organization subpart
- Yes
- Parent organization
- TRI COUNTY EYE CLINIC, PLLC
NPPES NPI Registry
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.
- Title
- Owner/Ophthalmologist
- Phone
- (228) 385-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3430 Bienville Boulevard
Ocean Springs, MS 39564-5732
Mailing address
431 Bertucci Boulevard
Biloxi, MS 39531-2255
Phone (228) 385-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014787 | Medicaid | MS |
Other names 1
- Tri County Eye Clinic
National Provider Directory
National Provider Directory- Part of
- Tri-County Eye Clinic
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Biloxi, MS
- NPI 1699744482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748131200000",
"number": "1770044497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 BERTUCCI BOULEVARD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312255",
"telephone_number": "228-385-2020",
"fax_number": "228-388-9435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 BIENVILLE BOULEVARD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395645732",
"telephone_number": "228-875-6658",
"fax_number": "228-875-0809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI COUNTY EYE CLINIC, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRI COUNTY EYE CLINIC, PLLC",
"enumeration_date": "2019-03-26",
"last_updated": "2025-05-25",
"certification_date": "2025-05-25",
"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": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09014787",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri County Eye Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tri County Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.