Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2004
NPI: 1558328526
Practice Locations (4)
5258 PLAINFIELD NE A
GRAND RAPIDS, MI 495251092
5378 PLAINFIELD AVE NE, SUITE A
GRAND RAPIDS, MI 495251053
5378 PLAINFIELD AVE NE A
GRAND RAPIDS, MI 495251053
5378 PLAINFIELD AVE NE A, NORTHVIEW EYECARE
GRAND RAPIDS, MI 495251053
6163612020
Source: CMS National Downloadable File, September 2026.