Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 1998
NPI: 1235144023
Practice Locations (1)
EAST LAKE EYECARE AND EYEWEAR INC
3434 E LAKE RD, SUITE 3
PALM HARBOR, FL 346852403
7277817922
Source: CMS National Downloadable File, September 2026.