Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2007
NPI: 1386835148
Practice Locations (2)
INNOVATIVE EYECARE
1200 NW 178TH ST, SUITE 100
EDMOND, OK 730124278
INNOVATIVE EYECARE
1200 NW 178TH ST, SUITE 100
EDMOND, OK 730124463
4055092100
Source: CMS National Downloadable File, September 2026.