Graduated: 1992
NPI: 1528093622
Practice Locations (2)
CEDAR CREST VISION LLC
12220 STATE HWY 14 N, SUITE 3
CEDAR CREST, NM 870089407
5052860300
ULTIMATE EYECARE SANTA FE LLC
1651 GALISTEO ST, SUITE 1
SANTA FE, NM 875054752
5059837746
Source: CMS National Downloadable File, September 2026.