NPI age
1 years
Enumerated 2024-09-27
● Active
Type 1 · Individual
Crystal Mary Agatha Fuller, LDO, ABOC, NCLEC
Fuller is 1 of 1 technician/technologist providers in Ellenwood and 1 of 393 in Georgia.
Primary specialty
Technician/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 393 active technician/technologist providers in Georgia.
NPI age
1 years
↓ 2 yr below median (3 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-09Enumerated in NPPES
2024
2026
Where they practice
Practice location
3068 Cotton Indian Cir
Ellenwood, GA 302943587
Mailing address
3068 Cotton Indian Cir
Ellenwood, GA 302943587
Specialties
-
Technician/Technologist PrimaryOpticians 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.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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