Provider Demographics
NPI:1730434754
Name:BEHRENS, KRISTEN HEATHER (OD)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:HEATHER
Last Name:BEHRENS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:60 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-2151
Mailing Address - Country:US
Mailing Address - Phone:617-964-1050
Mailing Address - Fax:617-568-4756
Practice Address - Street 1:60 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-2151
Practice Address - Country:US
Practice Address - Phone:617-964-1050
Practice Address - Fax:617-568-4756
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4913152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist