1. Home
  2. Directory
  3. Georgia
  4. Lilburn
  5. Optometrist
  6. NPI Profile

DR. MERON FANTAHUN OD
NPI 1245959683
Optometrist in Lilburn, GA

Active since August 26, 2022PECOS EnrolledAccepts Medicare Assignment
4153 LAWRENCEVILLE HWY NW STE 5, LILBURN, GA 30047(770) 921-4707 Get Directions Write a Review

NPPES record last updated: September 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2022, Aug 26, 2022 (2 updates tracked since 2022).

About Dr. Meron Fantahun Od NPPES

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

DR. MERON FANTAHUN OD (NPI 1245959683) is an individual optometrist in Lilburn, Georgia, licensed in Georgia (OPT003464) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245959683
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MERON FANTAHUNCredential: OD
Location Address4153 LAWRENCEVILLE HWY NW STE 5Lilburn, GA 30047-2854
Mailing AddressPo Box 207173Dallas, TX 75320-7173 · (636) 200-4393 · Fax (636) 527-0766
Phone(770) 921-4707
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 26, 2022
Last NPPES UpdateSeptember 17, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2022
✔ NPI 1245959683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT003464
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4153 LAWRENCEVILLE HWY NW STE 5, Lilburn, GA 30047
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Meron Fantahun Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567838857
PECOS Enrollment IDI20221011001635
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUBNA ALI
Optometrist
4153 LAWRENCEVILLE HWY NW STE 5
LILBURN, GA 30047
Gwinnett County (770) 921-4707

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 Meron Fantahun's NPI number?

The NPI number for Meron Fantahun is 1245959683. It was assigned to this individual provider in the NPPES registry on August 26, 2022.

Where is Meron Fantahun located?

Meron Fantahun practices at 4153 Lawrenceville Hwy NW Ste 5, Lilburn, GA 30047. The listed phone number is (770) 921-4707.

What is Meron Fantahun's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Meron Fantahun enrolled in Medicare?

Yes. Meron Fantahun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Meron Fantahun accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Meron Fantahun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meron Fantahun was last updated on September 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.