Active NPI
A Plus Optique
- Optometrist
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- LDO002220
- Legal business name
- A PLUS OPTIQUE
- Practice address
- 1240 Highway 54 W Ste 307
Fayetteville, GA 30214-4563 - Phone
- (678) 834-7411
- Fax
- (678) 834-7432
- NPI assigned
- May 7, 2014
- Last updated
- Jul 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Wade, OD
- Title
- Optometrist
- Phone
- (678) 834-7411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | LDO002220 | GA | Primary |
Addresses
Primary practice location
1240 Highway 54 W Ste 307
Fayetteville, GA 30214-4563
Mailing address
PO Box 144085
Fayetteville, GA 30214-6543
Phone (678) 834-7411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1240 Highway 54 W
Ste 306
Fayetteville, GA 30214
Phone (678) 834-7411
1240 Highway 54 W
Ste 307
Fayetteville, GA 30214
Phone (678) 834-7411
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Atlanta, GA
- NPI 1124755723
-
- Optometrist
- Fayetteville, GA
- NPI 1326483405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1235549536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 144085",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302146543",
"telephone_number": "678-834-7411",
"fax_number": "678-834-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 HIGHWAY 54 W STE 307",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144563",
"telephone_number": "678-834-7411",
"fax_number": "678-834-7432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A PLUS OPTIQUE",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-07",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "678-834-7411",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "LDO002220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.