Ali Ghassemi OD

NPI 1124149927 - Optometrist - 152W00000X

NPI Details
NPI 1124149927
Gender Male
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4201 COLDWATER RD
FORT WAYNE IN, 46805-1113, US
Phone (260) 484-1816
Fax (260) 484-1816
Business Location
410 WALLEN HILLS DR APT 5
FORT WAYNE IN, 46825-7028, US
Phone (260) 403-5099
Fax (260) 484-1816
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18003210
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According to our database, Ali Ghassemi OD NPI is 1124149927, taxonomy code is 152W00000X and license number is 18003210, license state is located at Indiana. Ali Ghassemi OD physically located at 4201 Coldwater Rd, Fort Wayne IN, 46805-1113. NPI Number Ali Ghassemi OD has the Individual type.

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1124149927 NPI number is provided on an as is basis without warranty of any kind. 1124149927 is maintained by the National Plan & Provider Enumeration System. The contents of Ali Ghassemi OD are for informational purposes only.