Individual
GLENN D PIESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3101 SW COLLEGE RD, LANGE EYECARE, OCALA, FL 34474
(352) 237-3768
Mailing address
1381 S PATRICK DRIVE, 45TH MEDICAL GROUP ATTN CREDENTIALS OFFICE, PATRICK AFB, FL 32925
(321) 494-8159
(321) 494-1378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2383
FL
Other
Enumeration date
03/24/2006
Last updated
02/20/2013
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