Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 1996
NPI: 1033236492
Practice Locations (2)
4180 OLD MILTON PKWY, SUITE 1D
ALPHARETTA, GA 300052408
7707769000
BOLT EYE GROUP - RIVERDALE LLC
131 UPPER RIVERDALE RD SW
RIVERDALE, GA 302742540
7709949913
Source: CMS National Downloadable File, September 2026.