Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1993
NPI: 1477652212
Practice Locations (2)
NORTHERN EYE CENTER PA
2020 S 6TH ST
BRAINERD, MN 564014529
2188292020
NORTHERN EYE CENTER PA
2020 S 6TH ST
BRAINERD, MN 564014595
Source: CMS National Downloadable File, September 2026.