BERTUCCI EYE CARE
NPI 1184417750
Ophthalmology in Gulfport, MS

Active since May 27, 2025
15122 DEDEAUX RD, GULFPORT, MS 39503(228) 832-1242(228) 832-1285 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bertucci Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERTUCCI EYE CARE (NPI 1184417750) is a healthcare organization registered as an ophthalmology in Gulfport, Mississippi and active in the NPI registry since May 2025. The organization lists Philip L Bertucci, Owner, as its authorized official.

NPPES Registry Identity

NPI1184417750
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBERTUCCI EYE CARE
Location Address15122 DEDEAUX RDGulfport, MS 39503-3120
Mailing Address15122 Dedeaux RdGulfport, MS 39503-3120 · (228) 832-1242 · Fax (228) 832-1285
Fax(228) 832-1285
Organization SubpartNo
Authorized OfficialPhilip L BertucciOwner · (228) 380-4441
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1184417750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
Also ListedOptometristTaxonomy 152W00000X
15122 DEDEAUX RD, Gulfport, MS 39503

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bertucci Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bertucci Eye Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1194793299
15122 DEDEAUX RD
Gulfport, MS 39503
(228) 832-1242
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1699744482
431 BERTUCCI BLVD
Biloxi, MS 39531
(228) 385-2020
✔ PECOS✔ Accepts Medicare7.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bertucci Eye Care's NPI number?

The NPI number for Bertucci Eye Care is 1184417750. It was assigned to this organization in the NPPES registry on May 27, 2025.

Where is Bertucci Eye Care located?

Bertucci Eye Care is located at 15122 Dedeaux Rd, Gulfport, MS 39503. The listed phone number is (228) 832-1242.

What is Bertucci Eye Care's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Bertucci Eye Care enrolled in Medicare?

Yes. Bertucci Eye Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bertucci Eye Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Bertucci Eye Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bertucci Eye Care accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 6 other insurers list Bertucci Eye Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bertucci Eye Care was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.