Dau, Jordan Patrick

Dau, Jordan Patrick is an individual health care provider with primary practice located at 132 Everest Ln Ste 5 , Saint Johns FL 32259-4090. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dau, Jordan Patrick can be contacted via phone (402) 540-0648.

Contact Information

Primary practice address
132 Everest Ln Ste 5 Saint Johns FL 32259-4090
Phone: (402) 540-0648
Fax: (888) 972-2191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC5048 Florida

Profile Details

NPI number 1104206325
LBN Legal business name Dau, Jordan Patrick
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2015
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104206325 NPPES
Florida MEDICAID 015027100

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