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 17 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 |
Popular Providers
-
Harris, Brian
6200 20Th St Ste 850 Indian River Mall, Vero Beach FL 32966-1012 -
Hinton, Gabrielle
792 S Us Highway 1 , Vero Beach FL 32962-4701 -
Weiss, Benjamin P
530 21St St , Vero Beach FL 32960-5450 -
Smith, Kris Edward
792 S Us Highway 1 , Vero Beach FL 32962-4701 -
Desrosiers, Joyce E
634 21St St , Vero Beach FL 32960-0933 -
Robinson, Rick A
715 17Th St , Vero Beach FL 32960-6219 -
Cianfrone, Brigitte
5960 20Th St , Vero Beach FL 32966-1019 -
Robinson, Jennie Lynn
333 17Th St Ste G, Vero Beach FL 32960-5672