Wade, Crystal

Wade, Crystal is an individual health care provider with primary practice located at 1240 Highway 54 W 306, Fayetteville GA 30214-4557. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens Fitter, Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is her primary health care specialty. Wade, Crystal can be contacted via phone (678) 304-7129.

Contact Information

Primary practice address
1240 Highway 54 W 306 Fayetteville GA 30214-4557
Phone: (678) 304-7129
Fax: (877) 543-7919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens Fitter 156FC0801X LDO002220 Georgia
Eye and Vision Services Providers / Contact Lens 156FC0800X LDO002220 Georgia
Eye and Vision Services Providers / Optician 156FX1800X LDO002220 Georgia

Profile Details

NPI number 1326483405
LBN Legal business name Wade, Crystal
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2013
Last updated May 2nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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