Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2002
NPI: 1033317417
Practice Locations (4)
2725 AGUA FRIA ST, APT C212
SANTA FE, NM 875075466
2725 AGUA FRIA ST, APT C212
SANTA FE, NM 875075519
1 VERMONT DR
NEW HYDE PARK, NY 110421128
5 DAKOTA DR, SUITE 307
NEW HYDE PARK, NY 110421188
Source: CMS National Downloadable File, September 2026.