John W L Smith OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0658800001 Issued in SC

Legal business name

JOHN W L SMITH OD

Practice address

531 Georgia Ave
North Augusta, SC 29841-3701

Phone

(803) 279-5277

Fax

(803) 279-0699

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Angie Patteson, OD

Title

Optometrist

Phone

(803) 279-5277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1528242559",
    "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "PATTESON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "803-279-5277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "SC",
            "license": "0658800001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey N Broder MD PC
• Millicent Porter Jenkins, FNP-C
• Faye D Jennings, NP
• David M Jester, MD
• John M. Newell, III , DMD
• John W.L. Smith OD PA
• Daniel Johnson
• Donna Johnson, R.N.
• Karen Johnson, LPCS
• Katie Pardue Johnson, OTR/L

• Eyewear Supplier in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Eyewear Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.