Individual
MATTHEW LEVERNOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 BRENNER AVE, BUILDING 3, FLOOR 2, EYE CLINIC, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
1601 BRENNER AVE, BUILDING 3, FLOOR 2, EYE CLINIC, SALISBURY, NC 28144-2515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3439-35
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2016
Last updated
10/24/2017
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