Organization Active NPI

Tri County Eye Clinic, PLLC

Doing business as Tri County Eye Clinic

  • Ophthalmology Physician
  • Ocean Springs, MS
National Provider Identifier
1770044497
Registry record updated May 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TRI COUNTY EYE CLINIC, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2025

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

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
09014787MedicaidMS

Other names 1

  • Tri County Eye Clinic Doing business as

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.

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.

Verify at the official NPI Registry.