NPI 1245959683

Meron Fantahun, OD

Practitioner Optometrist Lilburn, GA

Practice location

Address: 4153 Lawrenceville Hwy NW STE 5, Lilburn, GA 30047-2854
Phone: (770) 921-4707
Mailing address: PO Box 207173, Dallas, TX 75320-7173

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT003464 (GA)

Other Optometrist providers in Georgia →

Registry record

NPI: 1245959683
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2022
Record last updated: 17 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.