Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1997
NPI: 1952419004
Practice Locations (1)
THE EYE CENTER OF FORT WAYNE, LLC
321 E WAYNE ST
FORT WAYNE, IN 468022713
2604245656
Source: CMS National Downloadable File, September 2026.