ROMANDA BASALY DEMETRIOS (O.D.) – Optometrist, NPI 1003243502
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROMANDA BASALY DEMETRIOS (O.D.)
1568 SHERWOOD CT
DEARBORN, MI 481244016
Phone: (404) 932-2802
Type: Mailing
12924 HIGHWAY 92
WOODSTOCK, GA 301885192
Phone: (678) 717-9121
Fax: (770) 926-2287
Type: Location
133 RUM RUNNER WAY
SAINT JOHNS, FL 322592267
Phone: (404) 932-2802
Type: Mailing
155 FOUNTAINS WAY STE 11
SAINT JOHNS, FL 322591144
Phone: (404) 932-2802
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $553.
Total Amount is formed as General ($553) + Research ($0) + Ownership ($0) = $553.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: CooperVision Inc. ($279).
Total Amount
$553
General + Research + Ownership
Payments
19
Total payment records
General Amount
$553
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $279 |
| Alcon Vision LLC | $199 |
| Bausch & Lomb Americas Inc. | $75 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-14
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221014002843 | I | Optometry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P T O M E T R Y | GA |
Reviews
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