Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1967
NPI: 1205940889
Practice Locations (2)
801 S FAIRMONT AVE, SUITE 5
Lodi, CA 952405106
801 S FAIRMONT AVE, SUITE 5
LODI, CA 952405106
2093342020
Source: CMS National Downloadable File, September 2026.