Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 2003
NPI: 1154363158
Practice Locations (2)
EAGAN EYE CLINIC LLC
2070 EAGLE CREEK LN, SUITE 200
WOODBURY, MN 551293217
6514363356
AEG WISCONSIN PROFESSIONAL LTD
2303 SCHNEIDER AVE SE
MENOMONIE, WI 547517005
7152353838
Source: CMS National Downloadable File, September 2026.