Individual
DR. KAREN LYNNE KOUMJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
124 WATERTOWN ST, STE 3E, WATERTOWN, MA 02472-2500
(617) 923-2761
(617) 926-2835
Mailing address
124 WATERTOWN ST, STE 3E, WATERTOWN, MA 02472-2500
(617) 923-2761
(617) 926-2835
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2921
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0342068
—
MA
01
—
718121
TUFTS
MA
01
—
W15548
BLUE CROSS BLUE SHIELD
MD
Enumeration date
04/17/2007
Last updated
06/30/2016
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