| Coastal Clear Eyecare | |
|
155 Fountains Way Unit 11, Saint Johns, FL 32259-1143 | |
| (404) 932-2802 | |
| Not Available |
| Full Name | Coastal Clear Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 155 Fountains Way Unit 11, Saint Johns, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831822899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Romanda Basaly Demetrios |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003243502 PECOS PAC ID: 8628209087 Enrollment ID: I20221014002843 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Clear Eyecare 133 Rum Runner Way, Saint Johns, FL 32259-2267 Ph: (404) 932-2802 | Coastal Clear Eyecare 155 Fountains Way Unit 11, Saint Johns, FL 32259-1143 Ph: (404) 932-2802 |
Romanda Basaly Demetrios, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 155 Fountains Way Ste 11, Saint Johns, FL 32259 Phone: 404-932-2802 | |
Dr. Madeline Rose Dau, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 132 Everest Ln Ste 5, Saint Johns, FL 32259 Phone: 402-540-0648 Fax: 888-972-2191 | |
Akel Management Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 450 State Road 13, Suite 107, Saint Johns, FL 32259 Phone: 904-287-3678 Fax: 904-287-3386 | |
Dr. Jordan Patrick Dau, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 132 Everest Ln Ste 5, Saint Johns, FL 32259 Phone: 402-540-0648 Fax: 888-972-2191 | |
Dau Family Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 132 Everest Ln, Suite 5, Saint Johns, FL 32259 Phone: 402-540-0648 | |
Dr. Edward Steven Wygonik, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 108 Drumellan Ct, Saint Johns, FL 32259 Phone: 412-719-5926 | |
Dr. Harry David Weinstein, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 450 State Road 13, Saint Johns, FL 32259 Phone: 904-287-3678 |