Ali Ghassemi, OD

NPI #1124149927 in Fort Wayne, Indiana

Provider Information

NPI Number: 1124149927
Entity Type: Individual
Name: Ali Ghassemi, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4201 COLDWATER RD
City: Fort Wayne
State: Indiana
ZIP Code: 46805-1113
Phone: (260) 484-1816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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