Individual provider · Type 1 NPI
Crystal Mary Agatha Fuller, LDO, ABOC, NCLEC
Optician · Ellenwood, GA
NPI number
1912725060
Active
Practice location
3068 Cotton Indian Cir
Ellenwood, GA 30294-3587
Fax (770) 719-4392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optician Primary | 156FX1800X | 2429 (GA) |
Optician: 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.
About NPI 1912725060
Crystal Mary Agatha Fuller, LDO, ABOC, NCLEC's National Provider Identifier is 1912725060, issued on Sep 27, 2024. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Ellenwood, GA. The record was last updated on Sep 27, 2024.