Individual
DR. CRYSTAL J KLAAHSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2038 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-2104
(617) 864-3147
(617) 864-4994
Mailing address
2038 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-2104
(617) 864-3147
(617) 864-4994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4567
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272710774
TRICARE
MA
01
—
7488993
CIGNA
MA
01
—
A04719
EYEMED VISION CARE
MA
01
—
AA184459
HARVARD PILGRIM HEALTH CARE
MA
01
—
W16488
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/04/2006
Last updated
11/14/2011
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