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CRYSTAL MARY AGATHA FULLER LDO, ABOC, NCLEC
NPI 1912725060
Technician/Technologist - Optician in Ellenwood, GA

Active since September 27, 2024
3068 COTTON INDIAN CIR, ELLENWOOD, GA 30294(404) 824-8261(770) 719-4392 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Mary Agatha Fuller Ldo, Aboc, Nclec NPPES

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

CRYSTAL MARY AGATHA FULLER LDO, ABOC, NCLEC (NPI 1912725060) is an individual optician in Ellenwood, Georgia, licensed in Georgia (2429) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1912725060
Entity TypeIndividualFemale
Primary Taxonomy156FX1800X
Provider Legal NameCRYSTAL MARY AGATHA FULLERCredential: LDO, ABOC, NCLEC
Location Address3068 COTTON INDIAN CIREllenwood, GA 30294-3587
Mailing Address3068 Cotton Indian CirEllenwood, GA 30294-3587 · (404) 824-8261 · Fax (770) 719-4392
Phone(404) 824-8261
Fax(770) 719-4392
Sole ProprietorYes
Enumeration DateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
✔ NPI 1912725060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in GA · 2429
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
3068 COTTON INDIAN CIR, Ellenwood, GA 30294
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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 Fuller's NPI number?

The NPI number for Crystal Fuller is 1912725060. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Where is Crystal Fuller located?

Crystal Fuller practices at 3068 Cotton Indian Cir, Ellenwood, GA 30294. The listed phone number is (404) 824-8261.

What is Crystal Fuller's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Crystal Fuller was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.