Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2020
NPI: 1104418490
Practice Locations (3)
12360 MIDWAY RD
RAYMOND, MS 391548824
5 DAKOTA DR, SUITE 307
New Hyde Park, NY 110421106
5 DAKOTA DR, SUITE 307
NEW HYDE PARK, NY 110421188
Source: CMS National Downloadable File, September 2026.