| South Lake Optical | |
|
2250 E Highway 50, Suite 1, Clermont, FL 34711-6052 | |
| (352) 243-5348 | |
| (352) 243-8358 |
| Full Name | South Lake Optical |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 2250 E Highway 50, Clermont, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588805444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | OPC 3661 (Florida) | Primary |
| Provider Name | Gray R Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417165028 PECOS PAC ID: 1456490739 Enrollment ID: I20091125000538 |
| Mailing Address | Practice Location Address |
|---|---|
| South Lake Optical 2250 E Highway 50, Suite 1, Clermont, FL 34711-6052 Ph: (352) 243-5348 | South Lake Optical 2250 E Highway 50, Suite 1, Clermont, FL 34711-6052 Ph: (352) 243-5348 |
Dr Allison Toler And Associates Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2660 E Highway 50, Clermont, FL 34711 Phone: 352-241-6777 Fax: 352-394-1762 | |
Dr. Thara Atiyya Bacchus, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1450 Johns Lake Road, Clermont, FL 34711 Phone: 352-243-5652 | |
Eye Doctors Optical Outlets Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2670 E State Road 50 Unit F, Clermont, FL 34711 Phone: 352-988-2459 | |
Ms. Jennifer Tai, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3140 Citrus Tower Blvd Ste B, Clermont, FL 34711 Phone: 352-243-2121 Fax: 352-243-2140 | |
Eye Express, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3140 Citrus Tower Blvd, Bldg 11, Clermont, FL 34711 Phone: 863-875-6568 Fax: 863-299-1061 | |
Dr. Mark A. Hegetschweiler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 550 Us Highway 27, Clermont, FL 34714 Phone: 352-536-2746 | |
Dr. Erica Nicole Nieves, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 550 Us Highway 27, Clermont, FL 34714 Phone: 407-666-0828 Fax: 866-838-6099 |