Organization
PORTER SQUARE EYE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL J KLAAHSEN O.D. (PRESIDENT)
(617) 864-3147
Entity
Organization
Contact information
Practice address
2067 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1340
(617) 864-3147
Mailing address
2067 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1340
(617) 864-3147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4567
MA
Other
Enumeration date
05/28/2010
Last updated
12/12/2024
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