Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1989
NPI: 1184813305
Practice Locations (2)
2200 BLAIRSFERRY CROSSING
HIAWATHA, IA 522337900
2200 BLAIRSFERRY XING
HIAWATHA, IA 522337900
3192949546
Source: CMS National Downloadable File, September 2026.