Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2001
NPI: 1215091616
Practice Locations (2)
11330 FOUNTAINS DR
MAPLE GROVE, MN 553697200
7634948063
SPECTACLE SHOPPE INC
2050 SILVER LAKE RD NW
NEW BRIGHTON, MN 551125301
6516363434
Source: CMS National Downloadable File, September 2026.