Healthcare Provider Details

I. General information

NPI: 1477421436
Provider Name (Legal Business Name): HOLLY SPRINGS EYECARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1028 N MISSOURI ST STE 1
WEST MEMPHIS AR
72301-2600
US

IV. Provider business mailing address

640 J M ASH DR
HOLLY SPRINGS MS
38635-3401
US

V. Phone/Fax

Practice location:
  • Phone: 870-735-8466
  • Fax: 870-735-0717
Mailing address:
  • Phone: 662-473-2181
  • Fax: 662-473-2161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN PATRICK EDWARDS
Title or Position: OWNER
Credential: OD
Phone: 662-473-2181