NPI | 1770044497 |
---|---|
Doing Business As | TRI COUNTY EYE CLINIC |
Entity Type | Organization |
Authorized Contact | GREGORY EMILE BERTUCCI Owner/Ophthalmologist 228-385-2020 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2019-03-26 |
Last Update Date | 2019-03-26 |