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Bertucci Eye Care, PLLC

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Company Details

Name: Bertucci Eye Care, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 29 Jan 2025 (6 months ago)
Business ID: 1474284
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Philip Bertucci Agent 30 Old Oak Ln., Gulfport, MS 39503

Member

Name Role Address
Phil Bertucci Member 30 Old Oak Ln., Gulfport, MS 39503

National Provider Identifier

NPI Number:
1184417750
Certification Date:
2025-05-27

Authorized Person:

Name:
PHILIP L BERTUCCI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
No
Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
2288321285

Filings

Type Status Filed Date Description
Formation Form Filed 2025-01-29 Formation For Bertucci Eye Care, PLLC

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Date of last update: 21 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website