Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1991
NPI: 1912074741
Practice Locations (2)
1340 S AMMON RD
IDAHO FALLS, ID 834065810
1340 S AMMON RD, TETON VISION CENTER
IDAHO FALLS, ID 834060001
2085233141
Source: CMS National Downloadable File, September 2026.