MEDICARE: DAU FAMILY EYE CARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC 5048	FL

General Provider Information

NPI Number	:	1245761576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAU FAMILY EYE CARE, PLLC

Provider Business Mailing Address
First Line	:	132 EVEREST LN
Second Line	:	SUITE 5
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-4090
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 EVEREST LN
Second Line	:	SUITE 5
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-4090
Country	:	US
Telephone Number	:	402-540-0648
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JORDAN P DAU
Credential	:	O.D.
Telephone Number	:	402-540-0648

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	01/17/2025

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