IndividualActive
Ali Ghassemi, OD
NPI 1124149927 · Optometrist · Fort Wayne, IN
Provider details
- NPI number
- 1124149927
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18003210 (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
4201 Coldwater Rd
Fort Wayne, IN 46805-1113
Phone: (260) 484-1816
Fax: (260) 484-1816
Approximate (ZIP-level) locationGet directions
Mailing address
410 Wallen Hills Dr Apt 5
Fort Wayne, IN 46825-7028
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.