| NPI | 1700859881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EMILE BERTUCCI Ophthalmologist/Owner 228-385-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2022-07-21 |