Jordan Patrick Dau, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5048 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

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dau Family Eye Care PLLCGroup PAC ID 5496029654, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dau Family Eye Care, PLLC

  • Optometrist
  • Saint Johns, FL
  • NPI 1245761576
  Medicare reassignment Care Compare group Authorized official
• Dr. Ted Brink and Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1427138650
  Medicare reassignment NPD
• Dr.Ted Brink & Associates

  • Optometrist
  • Jacksonville, FL
  • NPI 1730402686
  NPD
• South Florida Vision Services, Inc.

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1912032566
  NPD (past)

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": "1104206325",
    "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"
        },
        {
            "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": "JORDAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015027100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Cucurullo, LMHC, M.S.
• Sherri Annette D'Agata, ARNP
• Andrew Allen Dacunha, DMD
• Julia R Daly, BCBA
• Dau Family Eye Care, PLLC
• Madeline Rose Dau, O.D.
• Amanda Ruth Davidson, B.C.B.A.
• Robert Davidson, MS, BCBA
• Karen Y Davies, M.P.T
• William Javier Davila, M.D.

• Optometrist in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.