Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1801830039
Practice Locations (1)
IDEAL EYE SURGERY LLC
12400 OLIVE BLVD, SUITE 200
CREVE COEUR, MO 631415436
3143919400
Source: CMS National Downloadable File, September 2026.