Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1989
NPI: 1780716209
Practice Locations (2)
2300 TYRONE BLVD N, SEARS OPTICAL
St Petersburg, FL 337103924
2300 TYRONE BLVD
ST PETERSBURG, FL 337103924
7273417263
Source: CMS National Downloadable File, September 2026.