Stephen Patrick Edwards, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

544 Issued in MS

Practice address

302 Railroad St
Water Valley, MS 38965-3032

Phone

(662) 473-2181

Fax

(662) 473-2161

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (3 of 13)

Locations

Networks

• TN PPO C-SNP
• AL HMO D-SNP
• MS PPO D-SNP
• AL HMO
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• TN PPO
• MS PPO C-SNP
• MS PPO
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holly Springs Eyecare PLLC

  • Optometrist
  • Holly Springs, MS
  • NPI 1356430987

  MS, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Holly Springs Eyecare PLLC

  • Optometrist
  • Senatobia, MS
  • NPI 1093420671
  Care Compare group Authorized official
• Holly Springs Eyecare PLLC

  • Optometrist
  • Calhoun City, MS
  • NPI 1003788381
  NPD
• Steve Edwards

  • Optometrist
  • Water Valley, MS
  • NPI 1679762207
  NPD

Specialty

Optometry

Education

Southern College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holly Springs Eyecare PLLC 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1013015585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W VAN DORN AVE",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352902",
            "telephone_number": "662-252-3323",
            "fax_number": "662-252-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RAILROAD ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653032",
            "telephone_number": "662-473-2181",
            "fax_number": "662-473-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "STEPHEN",
        "middle_name": "PATRICK",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880206",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornerstone DME, LLC
• Cornerstone Rehabilitation, Inc
• Tyler Cox, DPT
• Matt Defrancisco, DPT
• Hunter Edwards, OD
• Taylor Watkins Edwards, OD
• Evernorth Direct Health LLC
• Evernorth Direct Health LLC
• Family Health Care Clinic, Inc.
• Family Practice Clinic of Water Valley

• All providers in Water Valley, MS
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.