CRYSTAL WADE LDO NPI 1326483405

NPI Information

  • NPI: 1326483405
  • Provider Name: CRYSTAL WADE, LDO
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 1240 HIGHWAY 54 W
    306
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (678) 304-7129

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NPI Details

Crystal Wade, LDO is an optician technician technologist in Fayetteville, GA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. Crystal Wade, LDO NPI is 1326483405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1240 HIGHWAY 54 W
306
FAYETTEVILLE, GA
ZIP 30214-557
Phone: (678) 304-7129
Fax: (877) 543-7919

The enumeration date for this NPI number is 5/2/2013 and was last updated on 5/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FC0801XTechnician/TechnologistContact Lens FitterLDO002220GEORGIANo
2156FC0800XTechnician/TechnologistContact LensLDO002220GEORGIANo
3156FX1800XTechnician/TechnologistOpticianLDO002220GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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