Dr. Ted Brink & Associates

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. TED BRINK & ASSOCIATES

Practice address

4413 Town Center Pkwy
Jacksonville, FL 32246-8568

Phone

(904) 998-9871

Fax

(904) 998-3611

NPI assigned

Mar 7, 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

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": "1267920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267920000000",
    "number": "1649593591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11406 SAN JOSE BLVD",
            "address_2": "STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237963",
            "telephone_number": "904-260-3839",
            "fax_number": "904-260-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 TOWN CENTER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468568",
            "telephone_number": "904-998-9871",
            "fax_number": "904-998-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TED BRINK & ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. TED BRINK & ASSOCIATES",
        "enumeration_date": "2010-03-07",
        "last_updated": "2010-03-07",
        "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"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 7, 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.