Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2018
NPI: 1770068884
Practice Locations (2)
WISCONSIN VISION, LLC
5530 N PORT WASHINGTON RD, UNIT C
GLENDALE, WI 532174920
4148970152
WISCONSIN VISION, LLC
5725 75TH ST
KENOSHA, WI 531423603
2626945553
Source: CMS National Downloadable File, September 2026.