Organization
CHARLESTONEYE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK W SMITH OD (DOCTOR)
(843) 577-2047
Entity
Organization
Contact information
Practice address
3531 MARY ADER AVE, SUITE B, CHARLESTON, SC 29414-5896
(843) 577-2047
(843) 577-0640
Mailing address
1909A ASHLEY RIVER RD, CHARLESTON, SC 29407-4712
(843) 577-2047
(843) 577-0640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1029
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D10290
—
SC
Enumeration date
06/05/2007
Last updated
08/22/2020
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