Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Crystal Wade, LDO

Individual provider Contact Lens Technician/Technologist · NPI 1326483405

Dr. Crystal Wade, LDO is a Contact Lens Technician/Technologist in Fayetteville, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
Specialties on file
4

Practice location Address checks out

1240 Highway 54 W Ste 307
Fayetteville, GA 30214-4563
Phone: (678) 834-7411
Fax: (678) 834-7414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 840 Glynn St S Ste 344, Fayetteville, GA 30214-2004 — (678) 834-7411

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT3743 (GA)
Contact Lens Technician/Technologist Taxonomy 156FC0800X · Licence LDO002220 (GA)
Optician Taxonomy 156FX1800X · Licence LDO002220 (GA)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence OPT3743 (GA)

Record details

NPI number1326483405
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDO
Sole proprietorYes
NPI enumeratedMay 2, 2013
Last updated in NPPESMay 31, 2026
Certification dateMay 31, 2026