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

Krystal Lynn Penley, LDO

Individual provider Optician · NPI 1932771219

Krystal Lynn Penley, LDO is an Optician in Portal, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

346 N Grady St
Portal, GA 30450
Phone: (912) 536-9451
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 2341 (GA)

Record details

NPI number1932771219
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDO
Sole proprietorYes
NPI enumeratedJuly 15, 2021
Last updated in NPPESJuly 15, 2021
Certification dateJune 17, 2021

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