Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 2020
NPI: 1013534890
Practice Locations (2)
IDAHO EYECARE CENTER
1175 W BOISE AVE
BOISE, ID 837063503
2083849194
455 N 3RD
MOUNTAIN HOME, ID 836472738
2085873661
Source: CMS National Downloadable File, September 2026.