Individual provider Active NPI

Hunter Edwards, OD

  • Optometrist
  • Water Valley, MS
National Provider Identifier
1326613308
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1035P-Y Issued in MS
Practice address
302 Railroad St
Water Valley, MS 38965-3032
Phone
(662) 473-2181
NPI assigned
May 23, 2021
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1035P-Y MS Primary

Addresses

Primary practice location

302 Railroad St
Water Valley, MS 38965-3032

Mailing address

107 Westbury Cir
Oxford, MS 38655-6046
Phone (662) 614-2221

Other practice location 1

640 J M Ash Dr
Holly Springs, MS 38635-3401
Phone (662) 252-3323

Other identifiers 1

IdentifierTypeStateIssuer
1T5717OtherMSMEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210831002354 MS Practitioner - Optometry 0042616013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holly Springs Eyecare PLLCGroup PAC ID 2668472374, 5 clinicians

Practice addresses (Care Compare)

640 J M Ash Dr
Holly Springs, MS 38635-3401
Phone (662) 252-3323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Springs Eyecare PLLC Optometrist CurrentSince Dec 6, 2022 Accepting new patients
Holly Springs Eyecare PLLC Optometrist CurrentSince Dec 6, 2022 Accepting new patients
Steve Edwards Optometrist CurrentSince Jul 19, 2021 Accepting new patients

Locations

124 W Commerce St
Hernando, MS 38632
Phone (662) 429-5221

640 J M Ash Dr
Holly Springs, MS 38635
Phone (662) 252-3323

302 Railroad St
Water Valley, MS 38965
Phone (601) 473-2181

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1326613308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WESTBURY CIR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556046",
            "telephone_number": "662-614-2221"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 J M Ash Dr",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "MS",
            "postal_code": "386353401",
            "country_code": "US",
            "telephone_number": "662-252-3323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1035P-Y",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1T5717",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Water Valley, MS

Sources for this page

Verify at the official NPI Registry.