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General NPI Number Information
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NPI Number | 1104960129
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Entity Type | Individual
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Provider Name | MICHAEL S KRIMIGIS O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1201 WOLF ROCK DR STE 185
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City | PURCELLVILLE
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State | VA
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Zip | 20132-5841
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Country | US
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Telephone | 540-441-3719
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Fax | 540-235-5377
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Provider Business Mailing Address
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Address Line | 1201 WOLF ROCK DR STE 185
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City | PURCELLVILLE
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State | VA
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Zip | 20132-5841
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Country | US
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Telephone | 540-441-3719
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Fax | 540-235-5377
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000752
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA1514
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2023-OD
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License Number State | WV
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