Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 2010
NPI: 1316231764
Practice Locations (2)
825 E GATE BLVD, SUITE 111
GARDEN CITY, NY 115302136
PO BOX, SUITE 95590
SOUTH JORDAN, UT 84095
Source: CMS National Downloadable File, September 2026.