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Organization

DR. GRAY R. SMITH, INC.

Active
Other names
South Lake Optical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GRAY ROBERT SMITH O.D. (PRES)
(352) 243-5349
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
03/23/2009
Last updated
03/06/2012
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