Glisker, Richard E

Glisker, Richard E is an sole proprietor health care provider with primary practice located at 2101 Indian River Blvd Ste 106 , Vero Beach FL 32960-7700. He recently has 2 registered licenses in different health care specialties including Suppliers / Eyewear Supplier (Equipment, not the service), Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is his primary health care specialty. Glisker, Richard E can be contacted via phone (772) 480-1781.

Contact Information

Primary practice address
2101 Indian River Blvd Ste 106 Vero Beach FL 32960-7700
Phone: (772) 480-1781
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 4356 Florida
Eye and Vision Services Providers / Optician 156FX1800X 4356 Florida

Profile Details

NPI number 1659447530
LBN Legal business name Glisker, Richard E
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2006
Last updated Nov 12th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659447530 NPPES
Florida MEDICAID 115489600

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