NPIMap

Organization Active NPI

Steve Edwards

  • Optometrist
  • Water Valley, MS
National Provider Identifier
1679762207
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STEVE EDWARDS
Practice address
302 Railroad St
Water Valley, MS 38965-3032
Phone
(662) 473-2181
NPI assigned
Oct 19, 2007
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Steve Edwards
Title
Owner
Phone
(662) 473-2181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

302 Railroad St
Water Valley, MS 38965-3032

Mailing address

PO Box 785
Water Valley, MS 38965-0785

Other identifiers 1

IdentifierTypeStateIssuer
00880206MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1679762207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389650785"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "STEVE EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-473-2181"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880206",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Water Valley, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.