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DR. CRYSTAL WADE LDO
NPI 1326483405
Optometrist in Fayetteville, GA

Active since May 02, 2013PECOS Enrolled
1240 HIGHWAY 54 W STE 307, FAYETTEVILLE, GA 30214(678) 834-7411(678) 834-7414 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Crystal Wade Ldo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRYSTAL WADE LDO (NPI 1326483405) is an individual optometrist in Fayetteville, Georgia, licensed in Georgia (OPT3743) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2025).

NPPES Registry Identity

NPI1326483405
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. CRYSTAL WADECredential: LDO
Location Address1240 HIGHWAY 54 W STE 307Fayetteville, GA 30214-4563
Mailing Address7492 Parkland BndFairburn, GA 30213-5422 · (678) 777-1824
Phone(678) 834-7411
Fax(678) 834-7414
Sole ProprietorYes
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2025
Enumeration DateMay 2, 2013
Last NPPES UpdateMay 31, 2026
NPPES CertifiedMay 31, 2026
✔ NPI 1326483405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT3743
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OPT3743 (GA)
Also ListedTechnician/Technologist · Contact LensTaxonomy 156FC0800X · License LDO002220 (GA)
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X · License LDO002220 (GA)
1240 HIGHWAY 54 W STE 307, Fayetteville, GA 30214
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Secondary Practice Location 1

Location 1840 Glynn St S Ste 344Fayetteville, GA 30214-2004 · Phone (678) 834-7411 ext. 2 · Fax (678) 834-7411

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Crystal Wade Ldo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709089980
PECOS Enrollment IDI20260615001844
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Crystal Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

A Plus Optique
0.1 mi
Optometrist
1240 HIGHWAY 54 W STE 307
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1235549536 (678) 834-7411

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A PLUS OPTIQUE
Optometrist
1240 HIGHWAY 54 W STE 307
FAYETTEVILLE, GA 30214
Fayette County (678) 834-7411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Wade's NPI number?

The NPI number for Crystal Wade is 1326483405. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Crystal Wade located?

Crystal Wade practices at 1240 Highway 54 W Ste 307, Fayetteville, GA 30214. The listed phone number is (678) 834-7411.

What is Crystal Wade's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Crystal Wade enrolled in Medicare?

Yes. Crystal Wade is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Crystal Wade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Wade reassigns Medicare benefits to A Plus Optique (Fayetteville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Wade accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Crystal Wade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Wade was last updated on May 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.