Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 2000
NPI: 1053419358
Practice Locations (3)
19100 RIDGEWOOD PKWY, BLDG 1 7TH FLOOR
San Antonio, TX 782590001
19100 RIDGEWOOD PKWY
SAN ANTONIO, TX 782591828
1574 SANDPIPER BAY LOOP
DUMFRIES, VA 220262982
Source: CMS National Downloadable File, September 2026.