DR. MONICA GHIMIRE OPTOMETRIST
NPI 1295622298
Optometrist in Tucker, GA

Q: What is Monica Ghimire's NPI number?

The NPI number for Monica Ghimire is 1295622298. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Q: What is Monica Ghimire's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Monica Ghimire was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since June 23, 2025PECOS Enrolled

4153 LAVISTA RD STE C, TUCKER, GA 30084(770) 939-8828(770) 939-3966 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Monica Ghimire Optometrist NPPES

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

DR. MONICA GHIMIRE OPTOMETRIST (NPI 1295622298) is an individual optometrist in Tucker, Georgia, licensed in Georgia (OPT003667) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2025).

NPPES Registry Identity

NPI1295622298

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. MONICA GHIMIRECredential: OPTOMETRIST

Location Address4153 LAVISTA RD STE CTucker, GA 30084-5344

Mailing Address4026 Longleaf LnTucker, GA 30084-6515 · (678) 469-5988

Phone(770) 939-8828

Fax(770) 939-3966

Sole ProprietorNo

Medical School CMSIndiana University - School Of OptometryGraduated 2025

Enumeration DateJune 23, 2025

NPPES CertifiedJune 22, 2025

✔ NPI 1295622298 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 · OPT003667

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 LAVISTA RD STE C, Tucker, GA 30084

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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 (PECOS)

Dr. Monica Ghimire Optometrist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537673348

PECOS Enrollment IDI20250703002979

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 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.

GA DOCTORS OF OPTOMETRY LLC

Eyewear Supplier

4153 LAVISTA RD STE C
TUCKER, GA 30084

Dekalb County (770) 939-8828

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 Monica Ghimire's NPI number?

The NPI number for Monica Ghimire is 1295622298. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Monica Ghimire located?

Monica Ghimire practices at 4153 Lavista Rd Ste C, Tucker, GA 30084. The listed phone number is (770) 939-8828.

What is Monica Ghimire's specialty?

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

Is Monica Ghimire enrolled in Medicare?

Yes. Monica Ghimire is registered in the Medicare PECOS enrollment system.

What insurance does Monica Ghimire accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Monica Ghimire 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 Monica Ghimire was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.