Organization Active NPI

A Plus Optique

  • Optometrist
  • Fayetteville, GA
National Provider Identifier
1235549536
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
LDO002220 Issued in GA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Crystal Wade, ODNPI 1326483405
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20251126001679 GA Part B Supplier - Clinic/Group Practice 3375964752 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, GA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.