Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2003
NPI: 1922103308
Practice Locations (1)
MERCY CLINIC SPRINGFIELD COMMUNITIES
505 N 25TH ST, MC EYE SPEC OPTOMETRY OZARK
OZARK, MO 657219069
4178209393
Source: CMS National Downloadable File, September 2026.