DR. THEODORE M BRINK OD
NPI 1174616155
Optometrist in Jacksonville, FL

Q: What is Theodore Brink's NPI number?

The NPI number for Theodore Brink is 1174616155. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Theodore Brink's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Brink was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2006PECOS Enrolled

11406-1 SAN JOSE BLVD, JACKSONVILLE, FL 32223(904) 260-3839(904) 260-7879 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Theodore M Brink Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE M BRINK OD (NPI 1174616155) is an individual optometrist in Jacksonville, Florida, licensed in Florida (OFC2491) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174616155

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. THEODORE M BRINKCredential: OD

Location Address11406-1 SAN JOSE BLVDJacksonville, FL 32223

Mailing Address11406-1 San Jose BlvdJacksonville, FL 32223 · (904) 260-3839 · Fax (904) 260-7879

Phone(904) 260-3839

Fax(904) 260-7879

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174616155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · OFC2491

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

11406-1 SAN JOSE BLVD, Jacksonville, FL 32223

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Other Identifiers 2

Medicare ID-Type Unspecified910245Eyemed

Medicare UPINU48141

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore M Brink Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Brink's NPI number?

The NPI number for Theodore Brink is 1174616155. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Theodore Brink located?

Theodore Brink practices at 11406-1 San Jose Blvd, Jacksonville, FL 32223. The listed phone number is (904) 260-3839.

What is Theodore Brink's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Theodore Brink enrolled in Medicare?

Yes. Theodore Brink is registered in the Medicare PECOS enrollment system.

What insurance does Theodore Brink accept?

Health plans from AvMed, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Theodore Brink as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Brink was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.