Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2011
NPI: 1750669198
Practice Locations (2)
WWR, PSC
103 S BRADFORD LN
GEORGETOWN, KY 403242336
WWR, PSC
103 S BRADFORD LN, SUITE 102
GEORGETOWN, KY 403242336
5028633112
Source: CMS National Downloadable File, September 2026.