Mandarin Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MANDARIN VISION CENTER INC

Practice address

11407 San Jose Blvd # 1
Jacksonville, FL 32223-7234

Phone

(904) 260-3839

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ted Brink

Title

President

Phone

(904) 446-7009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1942380183",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11407 SAN JOSE BLVD # 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237234",
            "telephone_number": "904-260-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDARIN VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-446-7009",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandarin Family Medicine, P.a.
• Mandarin Healing Center Inc
• Mandarin OB-GYN PA
• Mandarin Reading Clinic
• Mandarin South Dentistry PA
• David M. Mandel, MD
• Kendall Mandt, RBT
• Sherlie Mane
• Lishen Angelie Maneja
• Anna Manelis, DPT, PH.D.

• 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 Apr 19, 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.