Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2020
NPI: 1447874755
Practice Locations (1)
PRIMARY EYE CARE CENTER OF AHWATUKEE PLC
16515 S 40TH ST, SUITE 111
PHOENIX, AZ 850480559
4807062020
Source: CMS National Downloadable File, September 2026.