Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 1996
NPI: 1720089758
Practice Locations (1)
CAROLINA FAMILY EYE CARE OF BALLANTYNE OD PLLC
12105 COPPER WAY, SUITE 100
CHARLOTTE, NC 282771817
7042954444
Source: CMS National Downloadable File, September 2026.