Organization
STEVE EDWARDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE EDWARDS (OWNER)
(662) 473-2181
Entity
Organization
Contact information
Practice address
302 RAILROAD ST, WATER VALLEY, MS 38965-3032
(662) 473-2181
Mailing address
PO BOX 785, WATER VALLEY, MS 38965-0785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880206
—
MS
Enumeration date
10/19/2007
Last updated
11/04/2021
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