Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2019
NPI: 1033765482
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
10725 INTERNATIONAL DR
RANCHO CORDOVA, CA 956707967
9166313000
SOCIETY FOR THE BLIND
1238 S ST
SACRAMENTO, CA 958117112
9164528271506
Source: CMS National Downloadable File, September 2026.