DR. JORDAN PATRICK DAU (O.D.) – Optometrist, NPI 1104206325

DR. JORDAN PATRICK DAU (O.D.) is a healthcare provider. based in Saint johns, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC5048 (FL). The NPI Number for DR. JORDAN PATRICK DAU (O.D.) is 1104206325

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN PATRICK DAU (O.D.)
NPI
1104206325
Phone
(402) 540-0648
Address
132 EVEREST LN STE 5
Enumeration Date
3 June 2015
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9047132020
Graduation Year
2015 (11 years ago)
PAC ID
8022321090
Group Practice PAC ID
5496029654
Professional Enrollment ID
I20150720002588
Address ID
FL322594090SA132XXLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for DR. JORDAN PATRICK DAU (O.D.)

  • 132 EVEREST LN STE 5

    SAINT JOHNS, FL 322594090

    Phone: (402) 540-0648

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $41,405.

Total Amount is formed as General ($41,405) + Research ($0) + Ownership ($0) = $41,405.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: CooperVision Inc. ($40,015).

Total Amount

$41,405

General + Research + Ownership

Payments

105

Total payment records

General Amount

$41,405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150720002588IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina1913$0
View full utilization report →

Insurance plans in this area (ZIP 32259)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496029654View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

Can I verify DR. JORDAN PATRICK DAU (O.D.) with an NPI only?
You can start verification with NPI 1104206325 for DR. JORDAN PATRICK DAU (O.D.), then check state licensing separately.
Can I rely on DR. JORDAN PATRICK DAU (O.D.) being an active provider?
As of the registry snapshot, DR. JORDAN PATRICK DAU (O.D.) is marked active.
What is DR. JORDAN PATRICK DAU (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. JORDAN PATRICK DAU (O.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. JORDAN PATRICK DAU (O.D.) serve?
DR. JORDAN PATRICK DAU (O.D.)'s listing highlights Saint Johns, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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