Karen Lynne Koumjian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2921 Issued in MA

Practice address

124 Watertown St
Ste 3E
Watertown, MA 02472-2500

Phone

(617) 923-2761

Fax

(617) 926-2835

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Koumjian Optometry, LLC

  • Optometrist
  • Watertown, MA
  • NPI 1245041482
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1134345689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST",
            "address_2": "STE 3E",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722500",
            "telephone_number": "617-923-2761",
            "fax_number": "617-926-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST",
            "address_2": "STE 3E",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722500",
            "telephone_number": "617-923-2761",
            "fax_number": "617-926-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUMJIAN",
        "first_name": "KAREN",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0342068",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W15548",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "718121",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga Kohlman, DPT
• Julie Kong, LICSW
• Nicole Kosar, MHC
• Mitchell Kossak, LMHC
• Koumjian Optometry, LLC
• Barry Kran, OD
• Susan A Krikorian, PHARM.D.
• Janet E Gawle Kuklinski, NP
• Anna Kuwahara
• Takayuki Kuwahara, LIC. AC.

• Optometrist in Watertown, MA
• Providers in Watertown, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.