Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1991
NPI: 1952477242
Practice Locations (2)
SUMMIT EYECARE PLLC
3351 MERLIN DR
IDAHO FALLS, ID 834047405
2085225594
SUMMIT EYECARE PLLC
45 W 1ST
SAINT ANTHONY, ID 834451401
2086243231
Source: CMS National Downloadable File, September 2026.