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Doctors / OH
OPTOMETRY
Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1995
NPI: 1689777179
4000 LUXOTTICA PL
MASON, OH 450408114
670 AVE PONCE DE LEON, APT 514
SAN JUAN, PR 009073240
Source: CMS National Downloadable File, September 2026.