Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1994
NPI: 1043270812
Practice Locations (2)
MIDWEST EYE CONSULTANTS PC
431 W COLISEUM
FORT WAYNE, IN 468051010
2604848516
MIDWEST EYE CONSULTANTS PC
301 J ST
LA PORTE, IN 463504734
2193628923
Source: CMS National Downloadable File, September 2026.