Individual
DR. RICHARD D AYUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
315A WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 353-1011
(910) 353-4433
Mailing address
315A WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 353-1011
(910) 353-4433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1487
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890903B
—
NC
Enumeration date
06/15/2006
Last updated
06/23/2011
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