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TRI COUNTY EYE CLINIC, PLLC
NPI 1538337902
Optometrist - Corneal and Contact Management in Gulfport, MS

Active since February 19, 2008CLIA Certified · 2 labs
15122 DEDEAUX RD, GULFPORT, MS 39503(228) 832-1242(228) 832-1285 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri County Eye Clinic, Pllc NPPES

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

TRI COUNTY EYE CLINIC, PLLC (NPI 1538337902) is a healthcare organization registered as a corneal and contact management in Gulfport, Mississippi and active in the NPI registry since February 2008. The organization holds 2 active CLIA laboratory certificates and lists Gregory Emile Bertucci, Owner/ophthalmologist, as its authorized official.

NPPES Registry Identity

NPI1538337902
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameTRI COUNTY EYE CLINIC, PLLC
Location Address15122 DEDEAUX RDGulfport, MS 39503-3120
Mailing Address15122 Dedeaux RdGulfport, MS 39503-3120 · (228) 832-1242 · Fax (228) 832-1285
Phone(228) 832-1242
Fax(228) 832-1285
Organization SubpartNo
Authorized OfficialGregory Emile BertucciOwner/ophthalmologist · (228) 385-2020
Enumeration DateFebruary 19, 2008
Last NPPES UpdateMarch 29, 2019
✔ NPI 1538337902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
15122 DEDEAUX RD, Gulfport, MS 39503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2166202

Tri County Eye Clinic · Gulfport, MS
Active · expires May 13, 2027
CLIA Number25D2166202
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorDr. Gregory E. Bertucci
Laboratory Phone(228) 832-1242
Laboratory LocationTri County Eye Clinic15122 Dedeaux Road, Gulfport, MS 39503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2166199

Tri County Eye Clinic · Biloxi, MS
Active · expires May 13, 2027
CLIA Number25D2166199
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorDr. Gregory E. Bertucci
Laboratory Phone(228) 385-2020
Laboratory LocationTri County Eye Clinic431 Bertucci Blvd, Biloxi, MS 39531
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERTUCCI EYE CARE
Ophthalmology
15122 DEDEAUX RD
GULFPORT, MS 39503
Harrison County (228) 832-1242
PHILIP L BERTUCCI MD
Ophthalmology
15122 DEDEAUX RD
GULFPORT, MS 39503
Harrison County (228) 832-1242

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 Tri County Eye Clinic, PLLC's NPI number?

The NPI number for Tri County Eye Clinic, PLLC is 1538337902. It was assigned to this organization in the NPPES registry on February 19, 2008.

Where is Tri County Eye Clinic, PLLC located?

Tri County Eye Clinic, PLLC is located at 15122 Dedeaux Rd, Gulfport, MS 39503. The listed phone number is (228) 832-1242.

What is Tri County Eye Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Does Tri County Eye Clinic, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Tri County Eye Clinic, PLLC was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.