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DR. GRAY R. SMITH INC. NPI 1588805444


NPI Information

NPI: 1588805444
Provider Name: DR. GRAY R. SMITH, INC.

Doing Business As: SOUTH LAKE OPTICAL

Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
2250 E HIGHWAY 50
SUITE 1
CLERMONT, FL
ZIP 34711
Phone: (352) 243-5348
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DR. GRAY R. SMITH, INC. is a corneal and contact management optometrist in Clermont, FL. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. GRAY R. SMITH, INC. NPI is 1588805444. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Lake Optical.

The provider's business location address is:

2250 E HIGHWAY 50
SUITE 1
CLERMONT, FL
ZIP 34711-052
Phone: (352) 243-5348
Fax: (352) 243-8358

The provider's authorized official is Gray Robert Smith .
The authorized official title is Pres and has the following contact phone number (352) 243-5349.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 3/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementOPC 3661FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CL880BMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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