Romanda Basaly Demetrios, OD | |
155 Fountains Way Ste 11, Saint Johns, FL 32259-1144 | |
(404) 932-2802 | |
Not Available |
Full Name | Romanda Basaly Demetrios |
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Gender | Female |
Speciality | Optometrist |
Location | 155 Fountains Way Ste 11, Saint Johns, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003243502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901004806 (Michigan) | Secondary |
152W00000X | Optometrist | OPT002962 (Georgia) | Secondary |
152W00000X | Optometrist | OPC6053 (Florida) | Primary |
Provider Name | Myeyedr Optometry Of Georgia, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437294592 PECOS PAC ID: 8224261201 Enrollment ID: O20140428000739 |
Mailing Address | Practice Location Address |
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Romanda Basaly Demetrios, OD 133 Rum Runner Way, Saint Johns, FL 32259-2267 Ph: (404) 932-2802 | Romanda Basaly Demetrios, OD 155 Fountains Way Ste 11, Saint Johns, FL 32259-1144 Ph: (404) 932-2802 |
Dr. Madeline Rose Dau, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 132 Everest Ln Ste 5, Saint Johns, FL 32259 Phone: 402-540-0648 Fax: 888-972-2191 | |
Visual Eyes Dba Optometrist Medicare: Not Enrolled in Medicare Practice Location: 450 State Road 13, Suite 107, Saint Johns, FL 32259 Phone: 904-287-3678 Fax: 904-287-3386 | |
Dr. Jordan Patrick Dau, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 132 Everest Ln Ste 5, Saint Johns, FL 32259 Phone: 402-540-0648 Fax: 888-972-2191 | |
Dau Family Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 132 Everest Ln, Suite 5, Saint Johns, FL 32259 Phone: 402-540-0648 | |
Dr. Edward Steven Wygonik, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 108 Drumellan Ct, Saint Johns, FL 32259 Phone: 412-719-5926 | |
Dr. Harry David Weinstein, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 450 State Road 13, Saint Johns, FL 32259 Phone: 904-287-3678 |