Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2000
NPI: 1821006164
Practice Locations (1)
20 20 ICARE, PLLC
3007 E CENTRAL TEXAS EXPY, SUITE 101
KILLEEN, TX 765437375
2542000711
Source: CMS National Downloadable File, September 2026.