Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 2001
NPI: 1154403913
Practice Locations (3)
19100 RIDGEWOOD PKWY, BLDG 1 7TH FLOOR
San Antonio, TX 782590001
19100 RIDGEWOOD PKWY
SAN ANTONIO, TX 782591828
2863 LAWRENCE DR
FALLS CHURCH, VA 220421403
Source: CMS National Downloadable File, September 2026.