Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1999
NPI: 1609895093
Practice Locations (2)
9180 N FWY 516
FORT WORTH, TX 761777649
9180 N FWY 516, EYES OPTICAL
FORT WORTH, TX 761777649
8175140174
Source: CMS National Downloadable File, September 2026.