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Doctors / GA
OPTOMETRY
Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 1978
NPI: 1497817068
560 DUTCH VALLEY RD NE, APT 2311
ATLANTA, GA 303245385
19100 RIDGEWOOD PKWY
SAN ANTONIO, TX 782591828
Source: CMS National Downloadable File, September 2026.