Dr. Crystal J Klaahsen, O.D.
Optometrist in Cambridge, MA. Individual provider (NPI-1).
NPI number1528076288
StatusActive
Last updated in NPPESNov 14, 2011
Details
- NPI
- 1528076288
- Entity type
- Individual (NPI-1)
- Name
- Dr. Crystal J Klaahsen
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2006
- Last updated
- Nov 14, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4567 | MA | Yes |
Other names
- Crystal J Bartosh (Former Name)
Practice location
2038 Massachusetts AveCambridge, MA 02140-2104
Phone 617-864-3147 · Fax 617-864-4994
Mailing address
2038 Massachusetts AveCambridge, MA 02140-2104
Phone 617-864-3147 · Fax 617-864-4994
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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