Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL WADE, LDO
ActiveCRYSTAL WADE, LDO is a Optician, Dispensing healthcare provider located in FAYETTEVILLE, Georgia. NPI 1326483405 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1326483405
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2013 (13.263274384483 yrs)
- Last Updated
- May 2, 2014
- Licenses
-
LDO002220 (GA)LDO002220 (GA)LDO002220 (GA)
Practice Information
- Address
-
1240 HIGHWAY 54 W306FAYETTEVILLE, GA, 302144557Browse GA providers · Browse ZIP 30214
- Phone
- 6783047129
- Fax
- 8775437919
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Contact Lens Optician
- Additional Specialty
- Optician, Dispensing
Other Optician, Dispensing Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| GINA D WISE | — | 1932416617 |
| PATRICK K ALFRED | ABOC | 1093086159 |
| MS. DALE A KLAUSS | LDO | 1477185205 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.