Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2010
NPI: 1578879839
Practice Locations (3)
5960 GLEN ELLYN CT SE
GRAND RAPIDS, MI 495460001
19100 RIDGEWOOD PKWY, BLDG 1 7TH FLOOR
San Antonio, TX 782590001
19100 RIDGEWOOD PKWY
SAN ANTONIO, TX 782591828
Source: CMS National Downloadable File, September 2026.