John W L Smith Od
Eyewear Supplier (Equipment, not the service) in North Augusta, SC. Organization (NPI-2).
NPI number1528242559
StatusActive
Last updated in NPPESJan 27, 2010
Details
- NPI
- 1528242559
- Entity type
- Organization (NPI-2)
- Legal business name
- John W L Smith Od
- Organization subpart
- No
- Enumeration date
- Dec 27, 2007
- Last updated
- Jan 27, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 0658800001 | SC | Yes |
Practice location
531 Georgia AveNorth Augusta, SC 29841-3701
Phone 803-279-5277 · Fax 803-279-0699
Mailing address
531 Georgia AveNorth Augusta, SC 29841-3701
Phone 803-279-5277 · Fax 803-279-0699
Authorized official
Angie Patteson
Optometrist
8032795277
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