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Individual

MR. RICHARD E GLISKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
530 21ST ST, VERO BEACH, FL 32960-5450
(772) 562-2020
(772) 562-5874
Mailing address
530 21ST ST, VERO BEACH, FL 32960-5450
(772) 562-2020
(772) 562-5874

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4356
FL
332H00000X
Eyewear Supplier
4356
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115489600
FL
Enumeration date
11/24/2006
Last updated
10/30/2025
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