Eyeglass Enterprises Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4356 Issued in FL

Legal business name

EYEGLASS ENTERPRISES INC.

Practice address

530 21St St
Vero Beach, FL 32960-5450

Phone

(772) 562-2020

Fax

(772) 562-5874

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Glisker

Title

Pres

Phone

(772) 562-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WORLD OF VISION Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1164579546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 21ST STREET",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605450",
            "telephone_number": "772-562-2020",
            "fax_number": "772-562-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 21ST ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605450",
            "telephone_number": "772-562-2020",
            "fax_number": "772-562-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEGLASS ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "GLISKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "772-562-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "4356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659447530",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WORLD OF VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roslyn B Evans, OTR/L, CHT
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• Kristi Lee Fadden
• Kristina Fahmie, APRN
• Kelsey Elizabeth Fallon, OTR
• Family Extended Care of Vero Beach, Inc.

• Durable Medical Equipment & Medical Supplies in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.