Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 1995
NPI: 1982829487
Practice Locations (3)
19100 RIDGEWOOD PKWY, BLDG 1 7TH FLOOR
San Antonio, TX 782590001
19100 RIDGEWOOD PKWY
SAN ANTONIO, TX 782591828
87 BATTERY POINT DR
FREDERICKSBURG, VA 224065471
Source: CMS National Downloadable File, September 2026.