Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2001
NPI: 1760477731
Practice Locations (2)
ROOSEVELT VISION CLINIC PC
165 W 200
ROOSEVELT, UT 840662834
ROOSEVELT VISION CLINIC PC
165 W 200, 71 7
ROOSEVELT, UT 840662834
4357222981
Source: CMS National Downloadable File, September 2026.