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
Mailing address7492 Parkland Bnd, Fairburn, GA 30213-5422