Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2020
NPI: 1629691431
Practice Locations (2)
VISION PLUS OF SILVER LAKE PLLC
12728 19TH AVE SE, SUITE 102
EVERETT, WA 982086526
4253535544
PROFESSIONAL PROVIDER ENTERPRISE LLC
1015 N GARRISON RD
VANCOUVER, WA 986641313
3606947501
Source: CMS National Downloadable File, September 2026.