Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1984
NPI: 1215909056
Practice Locations (2)
ALLIED VISION SOURCE LLC
1410 E VILLAGE PKWY
MT ZION, IL 625491253
2176152510
CENTRAL ILLINOIS FAMILY EYECARE LLC
7815 N KNOXVILLE AVE, SUITE 1A
PEORIA, IL 616142022
3098391614
Source: CMS National Downloadable File, September 2026.