Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2008
NPI: 1508020363
Practice Locations (2)
EYECARE SPECIALTIES OF IDAHO PC
134 N STATE ST
PRESTON, ID 832631143
2088523030
AEG UTAH PROFESSIONAL INC
1741 N 2000, SUITE 7
FARR WEST, UT 844049811
8017315558
Source: CMS National Downloadable File, September 2026.