Active NPI
Holly Springs Eyecare PLLC
- Optometrist
- Hernando, MS
National Provider Identifier
1033917638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HOLLY SPRINGS EYECARE PLLC
- Practice address
- 124 W Commerce St
Hernando, MS 38632-2240 - Phone
- (662) 647-1818
- Fax
- (662) 562-0600
- NPI assigned
- Mar 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Patrick Edwards, OD
- Title
- Owner
- Phone
- (662) 473-2181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
124 W Commerce St
Hernando, MS 38632-2240
Mailing address
302 Railroad St
Water Valley, MS 38965-3032
Phone (662) 473-6181
Other names 1
- Magnolia Eye Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Holly Springs Eyecare PLLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Calhoun City, MS
- NPI 1003788381
-
- Optometrist
- Senatobia, MS
- NPI 1093420671
-
- Optometrist
- Holly Springs, MS
- NPI 1356430987
-
- Optometrist
- West Memphis, AR
- NPI 1477421436
Locations
400 N Main St
Calhoun City, MS 38916
Phone (662) 473-2181
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Calhoun City, MS
- NPI 1972517506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741305600000",
"number": "1033917638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 RAILROAD ST",
"city": "WATER VALLEY",
"state": "MS",
"postal_code": "389653032",
"telephone_number": "662-473-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 W COMMERCE ST",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386322240",
"telephone_number": "662-647-1818",
"fax_number": "662-562-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLY SPRINGS EYECARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-07",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-473-2181",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnolia Eye Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hernando, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.