Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1979
NPI: 1942294962
Practice Locations (2)
1143 OAK RIDGE TPKE
OAK RIDGE, TN 378306422
8654833031
1143 OAK RIDGE TURNPIKE, SUITE 103
OAK RIDGE, TN 378306422
Source: CMS National Downloadable File, September 2026.