Organization
COASTAL CLEAR EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMANDA DEMETRIOS OD (OWNER/CEO)
(404) 932-2802
Entity
Organization
Contact information
Practice address
155 FOUNTAINS WAY UNIT 11, SAINT JOHNS, FL 32259-1143
(404) 932-2802
Mailing address
133 RUM RUNNER WAY, SAINT JOHNS, FL 32259-2267
(404) 932-2802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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