Dr. Ted Brink And Associates Pa | |
11406 San Jose Blvd Ste 1, Jacksonville, FL 32223-7953 | |
(904) 260-3839 | |
Not Available |
Full Name | Dr. Ted Brink And Associates Pa |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 11406 San Jose Blvd Ste 1, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427138650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Nickelle A Kellough |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669600102 PECOS PAC ID: 2769472349 Enrollment ID: I20040515000034 |
Provider Name | Brian Armitage |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437154283 PECOS PAC ID: 8527044171 Enrollment ID: I20040628000051 |
Provider Name | William M Avonda |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710919170 PECOS PAC ID: 0042269896 Enrollment ID: I20050119000296 |
Provider Name | Darren R Blom |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902930605 PECOS PAC ID: 1951357839 Enrollment ID: I20050324000127 |
Provider Name | John Womack |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487693446 PECOS PAC ID: 0840206652 Enrollment ID: I20060303000253 |
Provider Name | Michael L Hay |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770556888 PECOS PAC ID: 7810904414 Enrollment ID: I20060308000147 |
Provider Name | Michael S Nason |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073515284 PECOS PAC ID: 1456362144 Enrollment ID: I20060510000240 |
Provider Name | Edward C Sheplan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801963525 PECOS PAC ID: 0749361053 Enrollment ID: I20080112000007 |
Provider Name | Jon S Walker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891766606 PECOS PAC ID: 0648310011 Enrollment ID: I20091215000558 |
Provider Name | Scott L Thiele |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467545442 PECOS PAC ID: 2365582715 Enrollment ID: I20091216000483 |
Provider Name | Jeffrey S Blalock |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356434237 PECOS PAC ID: 0345380408 Enrollment ID: I20091221000586 |
Provider Name | Bradley Kirchner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710026653 PECOS PAC ID: 4183710775 Enrollment ID: I20100122000774 |
Provider Name | Tiffany Tucker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306075759 PECOS PAC ID: 0042335200 Enrollment ID: I20100913000448 |
Provider Name | Christopher K Mutai |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255359105 PECOS PAC ID: 7113944554 Enrollment ID: I20101022001239 |
Provider Name | Susan M Frick |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649406943 PECOS PAC ID: 4789879347 Enrollment ID: I20101109001401 |
Provider Name | Jack Rubin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982817193 PECOS PAC ID: 8628251857 Enrollment ID: I20110325000642 |
Provider Name | Alissa Alterman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558618058 PECOS PAC ID: 7517117963 Enrollment ID: I20121022000334 |
Provider Name | Brandon K Sudduth |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316370414 PECOS PAC ID: 6901038397 Enrollment ID: I20140417001731 |
Provider Name | Yaidy Exposito |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275942070 PECOS PAC ID: 9436378031 Enrollment ID: I20140912001865 |
Provider Name | Douglas Wright |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871902437 PECOS PAC ID: 3779806153 Enrollment ID: I20141217000497 |
Provider Name | Jordan Patrick Dau |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104206325 PECOS PAC ID: 8022321090 Enrollment ID: I20150720002588 |
Provider Name | Shaun Brennan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629451448 PECOS PAC ID: 7012215239 Enrollment ID: I20160420002399 |
Provider Name | Ann-marie Connolly |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942724893 PECOS PAC ID: 3779858378 Enrollment ID: I20171007000284 |
Provider Name | Marc Robinson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619324308 PECOS PAC ID: 8022371293 Enrollment ID: I20180423000608 |
Provider Name | Ronald Dale Norman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558929406 PECOS PAC ID: 0042545659 Enrollment ID: I20190718000084 |
Provider Name | Emily May Zediker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790349074 PECOS PAC ID: 4183951064 Enrollment ID: I20190815001127 |
Provider Name | Carl Lee Ritch |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922622356 PECOS PAC ID: 6204257694 Enrollment ID: I20200611001477 |
Provider Name | Erick C Abreu Rodriguez |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992310320 PECOS PAC ID: 4789004276 Enrollment ID: I20201022000991 |
Provider Name | Tyler Andrew Wills |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740861640 PECOS PAC ID: 1850792045 Enrollment ID: I20210625000197 |
Provider Name | Eman Akbik |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124766399 PECOS PAC ID: 8325420169 Enrollment ID: I20220727000252 |
Mailing Address | Practice Location Address |
---|---|
Dr. Ted Brink And Associates Pa 12276 San Jose Blvd Ste 305, Jacksonville, FL 32223-8632 Ph: (904) 503-3565 | Dr. Ted Brink And Associates Pa 11406 San Jose Blvd Ste 1, Jacksonville, FL 32223-7953 Ph: (904) 260-3839 |
Northeast Florida Eye Care Addociates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4413 Town Center Pkwy, Suite 207, Jacksonville, FL 32246 Phone: 904-998-9822 | |
Dr. Sierra Marie Mattox, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4788 Hodges Blvd, Jacksonville, FL 32224 Phone: 904-992-9991 | |
Dr. Sheila D Merritt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9760 San Jose Blvd, Jacksonville, FL 32257 Phone: 904-268-2299 | |
Melanie J Carvell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5921 Collins Rd, Suite 1, Jacksonville, FL 32244 Phone: 904-777-3937 Fax: 904-777-8208 | |
Danielle Callegari, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9041 Southside Blvd, Jacksonville, FL 32256 Phone: 904-519-5057 | |
Steven H Schwartz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3 Shircliff Way, Ste 122, Jacksonville, FL 32204 Phone: 904-388-3109 Fax: 904-388-9132 | |
Dr. Hewell Eaves, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7205 Bonneval Rd, Jacksonville, FL 32256 Phone: 904-296-0098 |