Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1989
NPI: 1487766630
Practice Locations (2)
1501 WAGNER AVE
GREENVILLE, OH 453312763
1501 WAGNER AVE, WALMART VISION CENTER
GREENVILLE, OH 453312763
9375479012
Source: CMS National Downloadable File, September 2026.