Medical school: UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated: 2002
NPI: 1942291547
Practice Locations (2)
486 N CHURCH ST
SULLIVAN, MO 630801568
486 N CHURCH ST, DALTON EYE CARE
SULLIVAN, MO 630801568
5734682020
Source: CMS National Downloadable File, September 2026.