Individual
VIVENCIO CRISOSTOMO AUSTERO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO, ABOC
Contact information
Practice address
3800 PLEASANT PLAINS RD, MATTHEWS, NC 28104-5958
(704) 401-4793
(704) 821-1363
Mailing address
3800 PLEASANT PLAINS RD, MATTHEWS, NC 28104-5958
(704) 401-4793
(704) 821-1363
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1050
NC
Other
Enumeration date
08/31/2017
Last updated
07/21/2022
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