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Active NPI 1003243502 Individual Practitioner Female Practitioner

Dr. Romanda Basaly Demetrios , OD

Optometrist • Saint Johns, FL

Professional Overview & Biography Verified Profile Summary

Dr. Romanda Basaly Demetrios, OD is a registered healthcare professional specializing in Optometrist in Saint Johns, FL. Practice services are available at 155 FOUNTAINS WAY STE 11 under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

155 Fountains Way Ste 11

Saint Johns, FL 322591144

Telephone 4049322802
Associated Practice Facility / Clinic
🏢 Medical Aesthetics Of Florida Facility NPI 1619746799

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Saint Johns, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Saint Johns, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
94 94 $185.00 $118.63
92004 New patient complete exam of visual system
36 36 $220.00 $141.96
92012 Established patient problem focused exam of visual system
29 29 $130.00 $82.78
92134 Imaging of retina
29 29 $100.00 $38.24
92133 Imaging of optic nerve
18 17 $100.00 $34.77

Medical Specialties & State Licenses

CMS Verified: 2022-07-19
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC6053

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MI 4901004806

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License GA OPT002962

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location July 19, 2022

Registered at 155 FOUNTAINS WAY STE 11, SAINT JOHNS, FL 322591144 (Tel: 4049322802)

📍
Updated Business Mailing Address July 19, 2022

Registered at 133 RUM RUNNER WAY, SAINT JOHNS, FL 322592267 (Tel: 4049322802)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2018

Optometrist (License #4901004806 in MI)

NPI Profile Active November 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2017

Registered at 12924 HIGHWAY 92, WOODSTOCK, GA 301885192 (Tel: 6787179121)

📍
Updated Business Mailing Address November 21, 2017

Registered at 1568 SHERWOOD CT, DEARBORN, MI 481244016 (Tel: 4049322802)

👤
Provider Name / Credentials Updated November 21, 2017

Recorded as ROMANDA BASALY DEMETRIOS, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2017

Optometrist (License #OPT002962 in GA)

NPI Profile Active March 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2014

Registered at 1568 SHERWOOD CT, DEARBORN, MI 481244016 (Tel: 4049322802)

📍
Updated Business Mailing Address March 25, 2014

Registered at 1568 SHERWOOD CT, DEARBORN, MI 481244016 (Tel: 4049322802)

👤
Provider Name / Credentials Updated March 25, 2014

Recorded as ROMANDA BASALY DEMETRIOS, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2014

Optometrist (License #4901004806 in MI)

🟢
Initial NPI Registration & Enumeration September 30, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003243502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2013
Last Update: July 19, 2022
Sole Proprietor: No

Mailing Address

133 Rum Runner Way

Saint Johns, FL 322592267

Phone: 4049322802

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.