Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Sudduth, OD

Individual provider Optometrist · NPI 1316370414

Brandon Sudduth, OD is an Optometry in Jacksonville, Florida. Qualified in 2013, 13 years ago. Practices with Dr Ted Brink and Associates PA, a 12-clinician group. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

11406 San Jose Blvd Ste 1
Jacksonville, FL 32223-7953
Phone: (904) 260-3839
Fax: (904) 260-3604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence APPLYING (FL)
Optometrist Taxonomy 152W00000X · Licence OPC4882 (FL)

Record details

NPI number1316370414
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 13, 2013
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address11406 San Jose Blvd Ste 1, Jacksonville, FL 32223-7953

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Dr. Ted Brink And Associates Pa — 12 clinicians
Accepts Medicare assignment Not indicated

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