NPIMap

Organization Active NPI

Dr.Ted Brink & Associates

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1730402686
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR.TED BRINK & ASSOCIATES
Practice address
9398 Arlington Expy
Ste 1
Jacksonville, FL 32225-8213
Phone
(904) 724-9210
Fax
(904) 724-3680
NPI assigned
Mar 7, 2010
Last updated
Apr 23, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. TED BRINK & ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

9398 Arlington Expy
Ste 1
Jacksonville, FL 32225-8213

Mailing address

11406 San Jose Blvd
Ste 1
Jacksonville, FL 32223-7963
Phone (904) 260-3839

National Provider Directory

National Provider Directory
Part of
Dr Ted Brink Associates

Locations

6419 W Newberry Rd
Ste B3
Gainesville, FL 32605
Phone (352) 331-6321

11406 San Jose Blvd
Ste 1
Jacksonville, FL 32223
Phone (904) 260-3839

9398 Arlington Expy
#1
Jacksonville, FL 32225
Phone (904) 724-9210

135 Jenkins St
Ste 104
St Augustine, FL 32086
Phone (904) 384-3707

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1267920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1730402686",
    "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": "9398 ARLINGTON EXPY",
            "address_2": "STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258213",
            "telephone_number": "904-724-9210",
            "fax_number": "904-724-3680"
        }
    ],
    "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": "2010-04-23",
        "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": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.