Provider Demographics
NPI:1104960129
Name:KRIMIGIS, MICHAEL S (OD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:KRIMIGIS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1201 WOLF ROCK DR STE 185
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-5841
Mailing Address - Country:US
Mailing Address - Phone:540-441-3719
Mailing Address - Fax:540-235-5377
Practice Address - Street 1:1201 WOLF ROCK DR STE 185
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-5841
Practice Address - Country:US
Practice Address - Phone:540-441-3719
Practice Address - Fax:540-235-5377
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000752152W00000X
MDTA1514152W00000X
WV2023-OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist