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TRI COUNTY EYE CLINIC PLLC NPI 1700859881


NPI Information

NPI: 1700859881
Provider Name: TRI COUNTY EYE CLINIC, PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 25D2166199

Address:
431 BERTUCCI BLVD
BILOXI, MS
ZIP 39531
Phone: (228) 385-2020
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TRI COUNTY EYE CLINIC, PLLC is an ophthalmology in Biloxi, MS. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. TRI COUNTY EYE CLINIC, PLLC NPI is 1700859881. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

431 BERTUCCI BLVD
BILOXI, MS
ZIP 39531-255
Phone: (228) 385-2020
Fax: (228) 388-9435

The provider's authorized official is Gregory Emile Bertucci .
The authorized official title is Ophthalmologist/owner and has the following contact phone number (228) 385-2020.

The CLIA number assigned to this NPI record is 25D2166199 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementMISSISSIPPINo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109014787MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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