Active NPIIndividual provider

Dr. John J Daub IV, OD

Optometrist in Rutherford, New Jersey

NPI Number1396254751
Practice location
31 Park Ave, Rutherford, NJ 07070-1711
Fax
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Last updated
July 21, 2022

John Jacob Daub is an Optometrist based in Rutherford, NJ. John Jacob Daub practices in Rutherford, NJ and has the professional credentials of OD. The NPI Number for John Jacob Daub is 1396254751 and holds a License No. 27OA00674800 (NJ). The current practice location address for John Jacob Daub is 31 Park Ave, Rutherford, NJ 07070-1711 and can be reached out via phone at 201-939-2463.

Provider Profile Details

NPI Number
1396254751
Provider Name
John Jacob Daub
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
31 Park Ave, Rutherford, NJ 07070-1711
Phone Number
201-939-2463
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
September 28, 2017
Last Update Date
July 21, 2022
Certification Date
June 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Park Ave
Rutherford, NJ 07070-1711
Zip
07070-1711
Phone Number
201-939-2463
Rutherford, NJ 07070Get directions →

Provider Business Mailing Address Details

Address
31 Park Ave
Rutherford, NJ 07070-1711
City
Rutherford
State
NJ
Zip
07070-1711
Phone Number
201-939-2463

License Information

License Number
27OA00674800
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John J Daub IV, OD?

The NPI number of Dr. John J Daub IV, OD is 1396254751. It was assigned on September 28, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. John J Daub IV, OD?

Dr. John J Daub IV, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00674800.

Where does Dr. John J Daub IV, OD practice?

The practice location is 31 Park Ave, Rutherford, NJ 07070-1711. The office can be reached at 201-939-2463 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396254751 directly on the NPPES registry website.

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