Dr Ted Brink & Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

ME 84394 Issued in FL

Legal business name

DR TED BRINK & ASSOCIATES

Practice address

10300 Southside Blvd
238
Jacksonville, FL 32256-0770

Phone

(904) 363-8282

Fax

(904) 363-2263

NPI assigned

Mar 5, 2010

Organization subpart

Yes

Parent organization

DR. TED BRINK & ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Ted Brink, MD

Title

President

Phone

(904) 260-3839

Specialties & licenses 1

Addresses

Part of

Dr Ted Brink Associates PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dr. Ted Brink and Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1427138650
  NPPES parent name

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1497078380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SOUTHSIDE BLVD",
            "address_2": "238",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560770",
            "telephone_number": "904-363-8282",
            "fax_number": "904-363-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SOUTHSIDE BLVD",
            "address_2": "238",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560770",
            "telephone_number": "904-363-8282",
            "fax_number": "904-363-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TED BRINK & ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. TED BRINK & ASSOCIATES",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-260-3839",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "ME 84394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.