Romanda Basaly Basaly Demetrios (NPI# 1003243502, PAC ID# 8628209087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1003243502 |
| PAC ID by PECOS | 8628209087 |
| Professional Enrollment ID | I20161024000135 |
| Full Name | Romanda Basaly Basaly Demetrios |
| Organization Legal Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Address |
12924 Hwy 92 Suite 100 Woodstock GA 30188-5193 |
| Phone Number | 6787179121 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8224261201 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4875 Altama Ave, Brunswick, GA 31520-2912 | 9125540010 | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| 12924 Hwy 92, Suite 100, Woodstock, GA 30188-5193 | 6787179121 | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kwon Jung Choe | Optometry | Myeyedr Optometry of Georgia, LLC | 3975 Old Milton Pkwy, Suite 2, Alpharetta, GA 30005-4467 |
| Danny J Garcia | Optometry | Myeyedr Optometry of Georgia, LLC | 4521 17th Ave, Columbus, GA 31904-6344 |
| Zachary Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| Katie Lynn Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2003 Commerce Dr, Kingsland, GA 31548-6767 |
| Rafael A Gamba | Optometry | Myeyedr Optometry of Georgia, LLC | 5940 Roswell Rd, Atlanta, GA 30328-4908 |
| Peggy S Achenbach | Optometry | Myeyedr Optometry of Georgia, LLC | 2215 Memorial Dr, Suite 25, Waycross, GA 31501-0987 |
| Tsani R Watson | Optometry | Myeyedr Optometry of Georgia, LLC | 3155 Cobb Pkwy Se, Suite 110, Atlanta, GA 30339-5535 |
| Robert Adam Young | Optometry | Myeyedr Optometry of Georgia, LLC | 9801 Hwy 92, Suite 100, Woodstock, GA 30188-6454 |
| Jarvis Dewayne Johnson | Optometry | Myeyedr Optometry of Georgia, LLC | 2485 N Columbia St, Milledgeville, GA 31061-5421 |
| Lindsey C. Eisenberg | Optometry | Myeyedr Optometry of Georgia, LLC | 2549 Piedmont Rd Ne, Atlanta, GA 30324-3023 |
| Street Address |
12924 HWY 92 SUITE 100 |
| City | WOODSTOCK |
| State | GA |
| Zip | 30188-5193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Vaccaro | Chiropractic | 5101 Old Hwy 5, Suite 1, Woodstock, GA 30188 | |
| Jonathan D Chao | Optometry | Woodstock Optometry, P.C. | 915 Ridgewalk Pkwy, Suite 425, Woodstock, GA 30188-0119 |
| Henry Leavengood | Chiropractic | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 30188-0724 | |
| Lara Kile | Chiropractic | Leavengood Chiropractic, PC | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 30188-0724 |
| Kenya M Ragland | Nurse Practitioner | Georgia Urgent Care, - Alpharetta, LLC | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 |
| Jean M Armand | Nurse Practitioner | Georgia Urgent Care, - Alpharetta, LLC | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 |
| Kellie C Baxter | Chiropractic | 6875 Hickory Rd, Suite 110, Woodstock, GA 30188-2327 | |
| Mary M Strange | Chiropractic | 5947 Holly Springs Pkwy, Suite 308, Holly Springs, GA 30188-2449 | |
| Mark A Amos | Chiropractic | 10214 Hickory Flat Hwy, Woodstock, GA 30188-3094 | |
| Burton Stevens Jr. | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
| Find all physicians in zip 30188 | |||
| City | WOODSTOCK |
| Zip Code | 30188 |
| Specialty | OPTOMETRY |
| City + Specialty | WOODSTOCK + OPTOMETRY |
Please comment or provide details below to improve the information on Romanda Basaly Basaly Demetrios.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.