Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2007
NPI: 1366606873
Practice Locations (2)
21 NORTH KIDS LLC
21 /2 WASHINGTON ST
VALPARAISO, IN 463834778
2192867007
ADVANCED OPTIX LLC
21 WASHINGTON ST
VALPARAISO, IN 463834778
2192867007
Source: CMS National Downloadable File, September 2026.