# DR. GRAY R. SMITH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Lake Optical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588805444
- **Authorized official:** DR. GRAY ROBERT SMITH O.D. (PRES)
- **Authorized official phone:** (352) 243-5349

## Contact information

- **Practice address:** 2250 E HIGHWAY 50, SUITE 1, CLERMONT, FL 34711-6052
- **Practice address phone:** (352) 243-5348
- **Practice address fax:** (352) 243-8358
- **Mailing address:** 2250 E HIGHWAY 50, SUITE 1, CLERMONT, FL 34711-6052
- **Mailing address phone:** (352) 243-5348
- **Mailing address fax:** (352) 243-8358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | OPC 3661 | FL | Yes |

## Other

- **Enumeration date:** 03/23/2009
- **Last updated:** 03/06/2012