# JOHN W L SMITH OD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528242559
- **Authorized official:** DR. ANGIE PATTESON OD (OPTOMETRIST)
- **Authorized official phone:** (803) 279-5277

## Contact information

- **Practice address:** 531 GEORGIA AVE, NORTH AUGUSTA, SC 29841-3701
- **Practice address phone:** (803) 279-5277
- **Practice address fax:** (803) 279-0699
- **Mailing address:** 531 GEORGIA AVE, NORTH AUGUSTA, SC 29841-3701
- **Mailing address phone:** (803) 279-5277
- **Mailing address fax:** (803) 279-0699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | 0658800001 | SC | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 01/27/2010