Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1998
NPI: 1225053762
Practice Locations (2)
26 S URBANA ST
SOUTH VIENNA, OH 453692502
9375687200
26 S URBANA ST, PO BOX 190
SOUTH VIENNA, OH 453692502
Source: CMS National Downloadable File, September 2026.