Glisker, Justin Richard
Glisker, Justin Richard is an individual health care provider with primary practice located at 530 21St Street , Vero Beach FL 32960. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Glisker, Justin Richard can be contacted via phone (772) 562-2020.Contact Information
Primary practice address
530 21St Street
Vero Beach FL 32960
Phone: (772) 562-2020
Fax: (772) 562-5874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3799 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV006880 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002663 | Connecticut |
Profile Details
| NPI number | 1811090442 |
|---|---|
| LBN Legal business name | Glisker, Justin Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811090442 | NPPES |
| Florida | MEDICAID | 620846100 |
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