| Holly Springs Eyecare Pllc | |
|
130 W Van Dorn Ave, Holly Springs, MS 38635-2902 | |
| (662) 252-3323 | |
| Not Available |
| Full Name | Holly Springs Eyecare Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 130 W Van Dorn Ave, Holly Springs, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356430987 | NPI | - | NPPES |
| 05784776 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Stephen Edwards |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013015585 PECOS PAC ID: 5799785408 Enrollment ID: I20070111000052 |
| Provider Name | Hunter Mccain Edwards |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326613308 PECOS PAC ID: 0042616013 Enrollment ID: I20210831002354 |
| Provider Name | Taylor Watkins Edwards |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548995509 PECOS PAC ID: 2860875952 Enrollment ID: I20220823001988 |
| Provider Name | Sarah Avera Thrower |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780363580 PECOS PAC ID: 4688036296 Enrollment ID: I20230814004022 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Springs Eyecare Pllc 130 W Van Dorn Ave, Holly Springs, MS 38635-2902 Ph: (662) 252-3323 | Holly Springs Eyecare Pllc 130 W Van Dorn Ave, Holly Springs, MS 38635-2902 Ph: (662) 252-3323 |
Dr. Katherine Cragon Randolph, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 130 W Van Dorn Ave, Holly Springs, MS 38635 Phone: 662-252-3323 | |
Sarah Avera Thrower, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 640 J M Ash Dr, Holly Springs, MS 38635 Phone: 662-252-3323 |