Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2000
NPI: 1609832153
Practice Locations (1)
LAKE HAVASU FAMILY EYECARE LLC
2277 SWANSON AVE, SUITE 100
LAKE HAVASU CITY, AZ 864036141
9288555026
Source: CMS National Downloadable File, September 2026.