Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIVENCIO CRISOSTOMO AUSTERO JR., LDO, ABOC
Active Sole ProprietorVIVENCIO CRISOSTOMO AUSTERO JR., LDO, ABOC is a Optician, Dispensing healthcare provider located in MATTHEWS, North Carolina. NPI 1336667153 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · MATTHEWS, NC
Registration Details
- NPI Number
- 1336667153
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2017 (8.9760991819435 yrs)
- Last Updated
- Jul 21, 2022
- License
-
1050 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3800 PLEASANT PLAINS RDMATTHEWS, NC, 281045958Browse NC providers · Browse ZIP 28104
- Phone
- 7044014793
- Fax
- 7048211363
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.