Medical school: INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated: 2024
NPI: 1821831454
Practice Locations (2)
5711 YMCA PARK DR E
FORT WAYNE, IN 468353279
5711 YMCA PARK DR E, EYEDRA VISION
FORT WAYNE, IN 468353279
2249993129
Source: CMS National Downloadable File, September 2026.