Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1988
NPI: 1881679587
Practice Locations (1)
SILVER OD PC AND TAKETA OD PC A PARTNERSHIP OF OPT CORP
2901 WILSHIRE BLVD, SUITE 100
SANTA MONICA, CA 904034915
3108290055
Source: CMS National Downloadable File, September 2026.