Individual
DR. MASOUD GHOHESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 SYCAMORE ESTATES DR, AURORA, IN 47001-1488
(812) 926-4836
(812) 926-4651
Mailing address
PO BOX 4174, LAWRENCEBURG, IN 47025-4174
(812) 926-4836
(812) 926-4651
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003027A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201392310
—
IN
05
—
2278664
—
OH
Enumeration date
05/20/2006
Last updated
01/24/2024
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