Healthcare Provider Details

I. General information

NPI: 1013832914
Provider Name (Legal Business Name): RHOEL OPTICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 W 7TH ST STE 13
FREDERICK MD
21702-4100
US

IV. Provider business mailing address

1305 W 7TH ST STE 13
FREDERICK MD
21702-4100
US

V. Phone/Fax

Practice location:
  • Phone: 301-969-2839
  • Fax: 540-235-5377
Mailing address:
  • Phone: 301-969-2839
  • Fax: 540-235-5377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL KRIMIGIS
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 301-969-2839