Individual provider Active NPI

Madeline Rose Dau, O.D.

  • Optometrist
  • Saint Johns, FL
National Provider Identifier
1013397231
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5047 Issued in FL
Practice address
132 Everest LN Ste 5
Saint Johns, FL 32259-4090
Phone
(402) 540-0648
Fax
(888) 972-2191
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5047 FL Primary

Addresses

Primary practice location

132 Everest LN Ste 5
Saint Johns, FL 32259-4090

Mailing address

132 Everest LN Ste 5
Saint Johns, FL 32259-4090
Phone (402) 540-0648

Other identifiers 1

IdentifierTypeStateIssuer
015029700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221000002 FL Practitioner - Optometry 7012218845

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gerald H Fisher and Erika L Fisher, PAGroup PAC ID 0345210399, 4 clinicians

Practice addresses (Care Compare)

2766 Race Track Rd
Saint Johns, FL 32259-4231
Phone (904) 287-4567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5047FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dau Family Eye Care, PLLC Optometrist CurrentSince Jul 24, 2022 Accepting new patients
South Florida Vision Services, Inc. Optometrist PastSince Jun 16, 2015 Accepting new patients

Locations

132 Everest Ln
Ste 5
St Johns, FL 32259
Phone (402) 540-0648

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013397231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 EVEREST LN STE 5",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594090",
            "telephone_number": "402-540-0648",
            "fax_number": "888-972-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 EVEREST LN STE 5",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594090",
            "telephone_number": "402-540-0648",
            "fax_number": "888-972-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAU",
        "first_name": "MADELINE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015029700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

Verify at the official NPI Registry.