P Praxis·MD
● Active Type 1 · Individual

DR. Meron Fantahun, OD

Optometrist·Lilburn, GA· NPI 1245959683 · Enumerated 2022 · 3 years on NPI
Fantahun is 1 of 14 optometrist providers in Lilburn and 1 of 2375 in Georgia.
NPI age
3 years
Enumerated 2022-08-26
Primary specialty
Optometrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2375 active optometrist providers in Georgia.

NPI age
3 years
↓ 13 yr below median (16 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-08Enumerated in NPPES
2022 2026

Where they practice

Practice location
4153 Lawrenceville Hwy Nw Ste 5
Lilburn, GA 300472854
📞 7709214707
Mailing address
Po Box 207173
Dallas, TX 753207173
📞 6362004393fax 6365270766

Additional practice locations

7 secondary locations on file with NPPES.

Location 2
181 Beaverwood Ct
Lawrenceville, GA 300444177
📞 4043872366
Location 3
5777 Old Winder Hwy
Braselton, GA 305171603
📞 7705345305
Location 4
4320 Suwanee Dam Rd Ste 2100
Suwanee, GA 300241949
📞 7706148577
Location 5
1675 Cumberland Pkwy Se Ste 103
Smyrna, GA 300806360
📞 7704380202
Location 6
2427 Heritage Vlg Ste 4
Snellville, GA 300782699
📞 7709782020fax 4705082002
Location 7
1013 E Freeway Dr Se
Conyers, GA 300945965
📞 7709227906
Location 8
3820 Pleasant Hill Rd Ste 5
Duluth, GA 300961429
📞 7704769585

Specialties

  • Optometrist Primary
    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...
    GA license #OPT003464 taxonomy 152W00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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