Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1995
NPI: 1184725632
Practice Locations (2)
SHOPTIKAL LLC
1520 W 9000, SUITE E
WEST JORDAN, UT 840888001
8015617300
SHOPTIKAL LLC
2843 S 5600, SUITE 110
WEST VALLEY CITY, UT 841206090
8019676300
Source: CMS National Downloadable File, September 2026.