Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1995
NPI: 1871607549
Practice Locations (1)
PROFESSIONAL VISION OF ELLICOTT CITY, INC
8450 BALTIMORE NATIONAL PIKE, SUITE 155
ELLICOTT CITY, MD 210433909
4104656166
Source: CMS National Downloadable File, September 2026.