Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1983
NPI: 1568556918
Practice Locations (4)
250 PIERCE ST
KINGSTON, PA 187045149
250 PIERCE ST, SUITE 317
KINGSTON, PA 187045149
5707630054
KEYSTONE NEUROSENSORY CENTERS LLC, SUITE 317 250 PIERCE STREET
KINGSTON, PA 187045149
ROBERT PACKER HOSPITAL
91 HOSPITAL DR
TOWANDA, PA 188489702
5702652191
Source: CMS National Downloadable File, September 2026.