Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1979
NPI: 1962442848
Practice Locations (2)
EYECARE OF GRAND LAKE PLLC
718 S MAIN ST
GROVE, OK 743442841
EYECARE OF GRAND LAKE PLLC
720 S MAIN ST
GROVE, OK 743442841
9184570305
Source: CMS National Downloadable File, September 2026.