Jay Fuller (NPI# 1053667758, PAC ID# 4486803566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1053667758 |
| PAC ID by PECOS | 4486803566 |
| Professional Enrollment ID | I20121004000584 |
| Full Name | Jay Fuller |
| Organization Legal Name | TRI COUNTY EYE CLINIC, PLLC |
| Address |
431 Bertucci Blvd Biloxi MS 39531-2255 |
| Phone Number | 2283852020 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2012 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9830104819 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2283852020 | TRI COUNTY EYE CLINIC, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 62% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 96% |
| Organization Legal Name | TRI COUNTY EYE CLINIC, PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip L Bertucci | Ophthalmology | Tri County Eye Clinic, Pllc | 431 Bertucci Blvd, Biloxi, MS 39531-2255 |
| Jasper T Mccullough | Optometry | Tri County Eye Clinic, Pllc | 431 Bertucci Blvd, Biloxi, MS 39531-2255 |
| Gregory E Bertucci | Ophthalmology | Tri County Eye Clinic, Pllc | 431 Bertucci Blvd, Biloxi, MS 39531-2255 |
| Karina E Moore-massey | Optometry | Tri County Eye Clinic, Pllc | 431 Bertucci Blvd, Biloxi, MS 39531-2255 |
| Street Address |
431 BERTUCCI BLVD |
| City | BILOXI |
| State | MS |
| Zip | 39531-2255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip L Bertucci | Ophthalmology | Tri County Eye Clinic, Pllc | 431 Bertucci Blvd, Biloxi, MS 39531-2255 |
| Jasper T Mccullough | Optometry | Tri County Eye Clinic, Pllc | 431 Bertucci Blvd, Biloxi, MS 39531-2255 |
| Gregory E Bertucci | Ophthalmology | Tri County Eye Clinic, Pllc | 431 Bertucci Blvd, Biloxi, MS 39531-2255 |
| Karina E Moore-massey | Optometry | Tri County Eye Clinic, Pllc | 431 Bertucci Blvd, Biloxi, MS 39531-2255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ursula Knight | Nurse Practitioner | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 104, Biloxi, MS 39531 |
| Geoffrey G Kergosien | Physical Therapy | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 404, Biloxi, MS 39531 |
| Oliver Lee Kesterson | Neurosurgery | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 104, Biloxi, MS 39531 |
| Kendrick Mccarty | Nurse Practitioner | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 402, Biloxi, MS 39531 |
| Jane Mattina | Nurse Practitioner | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 402, Biloxi, MS 39531 |
| Michael Dennis Rogers | Physical Therapy | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 404, Biloxi, MS 39531 |
| Caroline Coleman Miller | Qualified Speech Language Pathologist | Encore Rehabilitation Inc | 2541 Pass Rd F, Biloxi, MS 39531-2112 |
| Edward M Long | Chiropractic | Long Chiropractic, P. A. | 2541 Pass Rd H, Biloxi, MS 39531-2112 |
| Vickie G Cruse | Qualified Audiologist | 2541 Pass Rd, Suite C, Biloxi, MS 39531-2112 | |
| Zachary Moorer | Physical Therapy | Encore Rehabilitation Inc | 2541 Pass Rd F, Biloxi, MS 39531-2112 |
| Find all physicians in zip 39531 | |||
| City | BILOXI |
| Zip Code | 39531 |
| Specialty | OPTOMETRY |
| City + Specialty | BILOXI + OPTOMETRY |
Please comment or provide details below to improve the information on Jay Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.