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

Dr. Theodore M Brink, OD

Individual provider Optometrist · NPI 1174616155

Dr. Theodore M Brink, OD is an Optometrist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

11406-1 San Jose Blvd
Jacksonville, FL 32223
Phone: (904) 260-3839
Fax: (904) 260-7879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OFC2491 (FL)

Record details

NPI number1174616155
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 8, 2007

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