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General NPI Number Information
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NPI Number | 1477421436
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Entity Type | Organization
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Legal Business Name | HOLLY SPRINGS EYECARE PLLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1028 N MISSOURI ST STE 1
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-2600
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Country | US
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Telephone | 870-735-8466
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Fax | 870-735-0717
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Provider Business Mailing Address
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Address Line | 640 J M ASH DR
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City | HOLLY SPRINGS
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State | MS
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Zip | 38635-3401
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Country | US
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Telephone | 662-473-2181
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Fax | 662-473-2161
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN PATRICK EDWARDS
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Credential | OD
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Telephone | 662-473-2181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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