Doctor profile · Federal record

Dr. Romanda Basaly Demetrios, O.D.

Optometrist · Optometrist · Optometrist · Saint Johns, FL

  • NPI 1003243502
  • 13 yrs on file
  • Licensed in 3 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
155 Fountains Way Ste 11
Saint Johns, FL 322591144
(404) 932-2802
Mailing address
133 Rum Runner Way
Saint Johns, FL 322592267

Credentials & registration

NPPES · NUCC
NPI registered
September 2013 — 13 yrs on file
Profile last updated
July 19, 2022
Specialty taxonomy
152W00000X — NUCC code
State licenses (3)
Florida #OPC6053 · Michigan #4901004806 · Georgia #OPT002962

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1003243502. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$212
Transactions
7
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Alcon Vision LLC 2 $117.34
CooperVision INC. 4 $65.00
Bausch & Lomb Americas INC. 1 $29.86

By nature of payment

Food and Beverage
$212

Frequently asked questions

Auto-generated from federal data
What is Dr. Romanda Basaly Demetrios's medical specialty?
Dr. Romanda Basaly Demetrios practices Optometrist in Saint Johns, FL.
Where does Dr. Romanda Basaly Demetrios practice?
Dr. Romanda Basaly Demetrios practices at 155 Fountains Way Ste 11, Saint Johns, FL 322591144. Office phone: 4049322802.
What is Dr. Romanda Basaly Demetrios's NPI?
Dr. Romanda Basaly Demetrios's National Provider Identifier (NPI) is 1003243502, issued by NPPES.