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ROMANDA BASALY DEMETRIOS O.D.
NPI 1003243502
Optometrist in Saint Johns, FL

Active since September 30, 2013PECOS Enrolled
155 FOUNTAINS WAY STE 11, SAINT JOHNS, FL 32259(404) 932-2802 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 19, 2022, Feb 15, 2018, Nov 21, 2017 (3 updates tracked since 2017).

About Romanda Basaly Demetrios O.d. NPPES

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

ROMANDA BASALY DEMETRIOS O.D. (NPI 1003243502) is an individual optometrist in Saint Johns, Florida, licensed in Florida (OPC6053) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003243502
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameROMANDA BASALY DEMETRIOSCredential: O.D.
Location Address155 FOUNTAINS WAY STE 11Saint Johns, FL 32259-1144
Mailing Address133 Rum Runner WaySaint Johns, FL 32259-2267 · (404) 932-2802
Phone(404) 932-2802
Sole ProprietorNo
Enumeration DateSeptember 30, 2013
Last NPPES UpdateJuly 19, 20223 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1003243502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in FL · OPC6053✔ Licensed in MI · 4901004806✔ Licensed in GA · OPT002962
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.
155 FOUNTAINS WAY STE 11, Saint Johns, FL 32259
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Romanda Basaly Demetrios O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Romanda Basaly Demetrios reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Clear Eyecare
Same address
Optometrist
155 FOUNTAINS WAY UNIT 11
Saint Johns, FL 32259
  • Reassigned Medicare billing, Florida enrollment
NPI 1831822899 (404) 932-2802

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32259 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

MEDICAL AESTHETICS OF FLORIDA
Clinic/Center
155 FOUNTAINS WAY STE 11
SAINT JOHNS, FL 32259
St. Johns County (904) 561-1772

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 Romanda Basaly Demetrios's NPI number?

The NPI number for Romanda Basaly Demetrios is 1003243502. It was assigned to this individual provider in the NPPES registry on September 30, 2013.

Where is Romanda Basaly Demetrios located?

Romanda Basaly Demetrios practices at 155 Fountains Way Ste 11, Saint Johns, FL 32259. The listed phone number is (404) 932-2802.

What is Romanda Basaly Demetrios's specialty?

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

Is Romanda Basaly Demetrios enrolled in Medicare?

Yes. Romanda Basaly Demetrios is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Romanda Basaly Demetrios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Romanda Basaly Demetrios reassigns Medicare benefits to Coastal Clear Eyecare (Saint Johns, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Romanda Basaly Demetrios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Romanda Basaly Demetrios accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Romanda Basaly Demetrios 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 Romanda Basaly Demetrios was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.