Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1990
NPI: 1427044809
Practice Locations (3)
11506 FOX VALLEY RUN
Fort Wayne, IN 468452013
PO BOX, SUITE 549
WABASH, IN 46992
100 CROSSING BLVD, SUITE 300
FRAMINGHAM, MA 017025555
Source: CMS National Downloadable File, September 2026.