Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1982
NPI: 1811959265
Practice Locations (3)
124 N WASHINGTON AVE
Henderson, TN 383401800
124 N WASHINGTON AVE
HENDERSON, TN 383400159
7319892711
P O BOX, SUITE 159
HENDERSON, TN 383400159
Source: CMS National Downloadable File, September 2026.