Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2005
NPI: 1053484790
Practice Locations (2)
315 E COLUMBUS AVE
BELLEFONTAINE, OH 433112001
9375929777
1325 CAMERON AVE
LEWIS CENTER, OH 430359662
6148883972
Source: CMS National Downloadable File, September 2026.