Provider Demographics
NPI:1780786780
Name:ZAR, KAREN LISA (OD)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LISA
Last Name:ZAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 TRAPELO RD
Mailing Address - Street 2:SUITE 184
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-7333
Mailing Address - Country:US
Mailing Address - Phone:781-890-1023
Mailing Address - Fax:781-890-2507
Practice Address - Street 1:1601 TRAPELO RD
Practice Address - Street 2:SUITE 184
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-7333
Practice Address - Country:US
Practice Address - Phone:781-890-1023
Practice Address - Fax:781-890-2507
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4505152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0705586Medicaid
MAW17606Medicare ID - Type Unspecified
V07044Medicare UPIN