Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1985
NPI: 1104899426
Practice Locations (3)
424 N MAIN ST, SUITE 4
Middlebury, IN 465408988
424 N MAIN ST
MIDDLEBURY, IN 465408988
5748253818
313 E JEFFERSON ST
PLYMOUTH, IN 465631825
5749369137
Source: CMS National Downloadable File, September 2026.