Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 2002
NPI: 1669789814
Practice Locations (2)
NICOLEX LLC
14435 N 7TH ST, SUITE 104
PHOENIX, AZ 850224378
6029932727
SOMERTON EYECARE CENTER INC
725 E MAIN ST, SUITE 1C
SOMERTON, AZ 853500634
9286274525
Source: CMS National Downloadable File, September 2026.