Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2004
NPI: 1215091749
Practice Locations (2)
MINNESOTA OPTICAL LLC
19576 HOLT ST NW
ELK RIVER, MN 553301287
7632412083
HUTCHINSON SUPERSTORE INC
1059 HWY 15 S
HUTCHINSON, MN 553503153
3205874744
Source: CMS National Downloadable File, September 2026.