Organization Active NPI

Dau Family Eye Care, PLLC

  • Optometrist
  • Saint Johns, FL
National Provider Identifier
1245761576
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5048 Issued in FL
Legal business name
DAU FAMILY EYE CARE, PLLC
Practice address
132 Everest LN
Suite 5
Saint Johns, FL 32259-4090
Phone
(402) 540-0648
NPI assigned
Mar 27, 2017
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Dr. Jordan P Dau, O.D.NPI 1104206325
Title
Owner
Phone
(402) 540-0648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5048 FL Primary

Addresses

Primary practice location

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

Mailing address

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

Other practice location 1

3735 Longleaf Pine Pkwy Ste 205
Saint Johns, FL 32259-7482
Phone (904) 713-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170927000337 FL Part B Supplier - Clinic/Group Practice 5496029654 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Johns, FL

National Provider Directory

National Provider Directory

Locations

3735 Longleaf Pine Pkwy
Ste 205
Saint Johns, FL 32259
Phone (904) 713-2020

3735 Longleaf Pine Pkwy
Ste 205V
Saint Johns, FL 32259

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1245761576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 EVEREST LN",
            "address_2": "SUITE 5",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 EVEREST LN",
            "address_2": "SUITE 5",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594090",
            "telephone_number": "402-540-0648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3735 Longleaf Pine Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322597482",
            "country_code": "US",
            "telephone_number": "904-713-2020",
            "fax_number": "888-972-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAU FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "DAU",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-540-0648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.