Active NPI
August Andre Krymis Jr., O.D.
- Optometrist
- Kalamazoo, MI
National Provider Identifier
1780803403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002284
- Practice address
- 4425 W Main St
Kalamazoo, MI 49006-2648 - Phone
- (369) 345-4425
- Fax
- (269) 345-4435
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002284 | MI | Primary |
Addresses
Primary practice location
4425 W Main St
Kalamazoo, MI 49006-2648
Mailing address
4425 W Main St
Kalamazoo, MI 49006-2648
Phone (369) 345-4425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5052968 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901002284 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780803403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490062648",
"telephone_number": "369-345-4425",
"fax_number": "269-345-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490062648",
"telephone_number": "369-345-4425",
"fax_number": "269-345-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRYMIS",
"first_name": "AUGUST",
"middle_name": "ANDRE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5052968",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.