Theodore Brink, OD
NPI 1174616155 · Optometrist · Jacksonville, FL
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Brink, OD is a Optometrist provider in Jacksonville, FL (NPI 1174616155).
Provider details
- NPI number
- 1174616155
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OFC2491 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is Theodore Brink's NPI number?
- Theodore Brink's National Provider Identifier (NPI) is 1174616155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Brink's specialty?
- Theodore Brink is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Theodore Brink located?
- Theodore Brink's practice location on file with NPPES is 11406-1 San Jose Blvd, Jacksonville, FL 32223.
- What is Theodore Brink's phone number?
- The practice phone number listed in the NPPES registry for Theodore Brink is (904) 260-3839.
- Does Theodore Brink accept Medicare?
- Theodore Brink is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Brink's NPI active?
- Yes — Theodore Brink's NPI (1174616155) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.