Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2000
NPI: 1801097027
Practice Locations (1)
SHADY GROVE EYE AND VISION CARE LLC
15200 SHADY GROVE RD, SUITE 100
ROCKVILLE, MD 208503218
3016701212
Source: CMS National Downloadable File, September 2026.