Organization
DR GHANEM & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILAL TAHER GHANEM OD (OPTOMETRIST)
(440) 212-4526
Entity
Organization
Contact information
Practice address
18054 ROYALTON RD, STRONGSVILLE, OH 44136-5180
(440) 268-0765
Mailing address
3751 ALESIA KAE DR, BRUNSWICK, OH 44212-5012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327710
—
OH
Enumeration date
02/05/2019
Last updated
06/18/2019
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