Medical school: INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated: 1987
NPI: 1023104437
Practice Locations (2)
4900 N GLEN PARK PLACE RD, SUITE C
PEORIA, IL 616144685
10501 W HAMPTON LAKES ST
MAIZE, KS 671013736
Source: CMS National Downloadable File, September 2026.