Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2019
NPI: 1982256533
Practice Locations (1)
MEDICAL VISION TECHNOLOGY OPHTHALMOLOGY MEDICAL GROUP INC
1830 SIERRA GARDENS DR, SUITE 100
ROSEVILLE, CA 956612942
9167822111
Source: CMS National Downloadable File, September 2026.