Organization Active NPI

John W.L. Smith OD PA

  • Optometrist
  • North Augusta, SC
National Provider Identifier
1285772269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC674 Issued in SC
Legal business name
JOHN W.L. SMITH OD PA
Practice address
531 Georgia Ave
North Augusta, SC 29841-3701
Phone
(803) 279-5277
Fax
(803) 279-0699
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Angela Michelle Patteson, OD
Title
Optometrist
Phone
(803) 279-5277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SC674 SC Primary

Addresses

Primary practice location

531 Georgia Ave
North Augusta, SC 29841-3701

Mailing address

531 Georgia Ave
North Augusta, SC 29841-3701
Phone (803) 279-5277

National Provider Directory

National Provider Directory

Locations

531 Georgia Ave
North Augusta, SC 29841
Phone (803) 279-5277

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285772269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 GEORGIA AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413701",
            "telephone_number": "803-279-5277",
            "fax_number": "803-279-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 GEORGIA AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413701",
            "telephone_number": "803-279-5277",
            "fax_number": "803-279-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W.L. SMITH OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTESON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "803-279-5277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.