DR. MERON FANTAHUN (OD) – Optometrist, NPI 1245959683
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPTOMETRY in GA
Provider Addresses for DR. MERON FANTAHUN (OD)
181 Beaverwood Ct
Lawrenceville, GA 300444177
Phone: (404) 387-2366
Type: Location
3820 Pleasant Hill Rd Ste 5
Duluth, GA 300961429
Phone: (770) 476-9585
Type: Location
5777 Old Winder Hwy
Braselton, GA 305171603
Phone: (770) 534-5305
Type: Location
1675 Cumberland Pkwy SE Ste 103
Smyrna, GA 300806360
Phone: (770) 438-0202
Type: Location
2427 Heritage Vlg Ste 4
Snellville, GA 300782699
Phone: (770) 978-2020
Fax: (470) 508-2002
Type: Location
1013 E Freeway Dr SE
Conyers, GA 300945965
Phone: (770) 922-7906
Type: Location
4320 Suwanee Dam Rd Ste 2100
Suwanee, GA 300241949
Phone: (770) 614-8577
Type: Location
PO BOX 207173
DALLAS, TX 753207173
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
4153 LAWRENCEVILLE HWY NW STE 5
LILBURN, GA 300472854
Phone: (770) 921-4707
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,086.
Total Amount is formed as General ($1,086) + Research ($0) + Ownership ($0) = $1,086.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: CooperVision Inc. ($366).
Total Amount
$1,086
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,086
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $366 |
| Bausch & Lomb Americas Inc. | $267 |
| Alcon Vision LLC | $153 |
| Tarsus Pharmaceuticals, Inc. | $141 |
| Dompe US, Inc. | $100 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221011001635 | I | Optometry | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | GA | |
| - | GA | |
| O P T O M E T R Y | GA |
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