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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1659447530 | NPPES |
| Florida | MEDICAID | 115489600 |
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