Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2000
NPI: 1356441802
Practice Locations (3)
114 N GALWAY DR
GRANVILLE, OH 430239572
114 N GALWAY DR
GRANVILLE, OH 430239583
7405874970
12464 LANCASTER ST
MILLERSPORT, OH 430460421
7404672525
Source: CMS National Downloadable File, September 2026.