Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2013
NPI: 1881031524
Practice Locations (2)
MINNESOTA OPTICAL LLC
19576 HOLT ST NW
ELK RIVER, MN 553301287
7632412083
153 DIVISION ST, SUITE A
WAITE PARK, MN 563871341
3202512020
Source: CMS National Downloadable File, September 2026.