Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2002
NPI: 1194884635
Practice Locations (2)
K AND K VISION INC
2024 FORD PKWY
Saint Paul, MN 551161931
K AND K VISION INC
2024 FORD PKWY
SAINT PAUL, MN 551161931
6516982020
Source: CMS National Downloadable File, September 2026.