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

NPI Status: Active since February 19, 2008

Contact Information

15122 DEDEAUX RD
GULFPORT, MS
ZIP 39503
Phone: (228) 832-1242
Fax: (228) 832-1285

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  • Organization
  • Optometrist
  • Corneal and Contact Management
  • CLIA Number: 25D2166202
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-13-2027

About TRI COUNTY EYE CLINIC, PLLC

This page provides the complete NPI Profile along with additional information for Tri County Eye Clinic, Pllc, a provider established in Gulfport, Mississippi operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1538337902 assigned on February 2008. The practitioner's primary taxonomy code is 152WC0802X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Gregory Emile Bertucci M.d. (Owner/ophthalmologist)

NPI
1538337902
Provider Name
TRI COUNTY EYE CLINIC, PLLC
Entity Type
Organization
Location Address
15122 DEDEAUX RD GULFPORT, MS 39503
Location Phone
(228) 832-1242
Location Fax
(228) 832-1285
Mailing Address
15122 DEDEAUX RD GULFPORT, MS 39503
Mailing Phone
(228) 832-1242
Mailing Fax
(228) 832-1285
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2008
Last Update Date
03-29-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist Corneal and Contact Management

Taxonomy Code
152WC0802X
Type
Eye and Vision Services Providers
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GREGORY EMILE BERTUCCI M.D.

Authorized Official Title
OWNER/OPHTHALMOLOGIST
Authorized Official Phone
(228) 385-2020

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2166202
Facility Type
Physician Office
Certificate Effective Date
May 14, 2025
Certificate Expiration Date
May 13, 2027
Laboratory Director
DR. GREGORY E. BERTUCCI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tri County Eye Clinic, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538337902, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 6 + 3 + 1 + 4 + 9 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1538337902.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Ophthalmology
15122 DEDEAUX RD
GULFPORT, MS 39503
Ophthalmology
15122 DEDEAUX RD
GULFPORT, MS 39503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538337902, enumerated as an "organization" on February 19, 2008.

The provider is located at 15122 DEDEAUX RD GULFPORT, MS 39503 and the phone number is (228) 832-1242.

Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.