Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2003
NPI: 1982709697
Practice Locations (2)
BOLIVAR VISION, LLC
680 E ALDRICH RD
BOLIVAR, MO 656132573
4177779000
EL DORADO VISION LLC
701 E HOSPITAL RD
EL DORADO SPRINGS, MO 647442316
4178766052
Source: CMS National Downloadable File, September 2026.