Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1998
NPI: 1346305737
Practice Locations (2)
EAGAN EYE CLINIC LLC
1610 BROADWAY ST
ALEXANDRIA, MN 563082708
3207634321
EAGAN EYE CLINIC LLC
3930 CEDAR GROVE PKWY
EAGAN, MN 551221403
6514545661
Source: CMS National Downloadable File, September 2026.