Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1998
NPI: 1316946338
Practice Locations (2)
FAIRBURY VISION CENTER LLC
2 ASPEN CT
FAIRBURY, IL 617391487
8156922415
PONTIAC FAMILY EYE CARE LLC
320 N LADD ST
PONTIAC, IL 617641612
8158424304
Source: CMS National Downloadable File, September 2026.