Dr Theodore M Brink, OD - Medicare Optometrist in Jacksonville, FL

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Dr Theodore M Brink, OD is a medicare enrolled "Optometrist" provider in Jacksonville, Florida. His current practice location is 11406-1 San Jose Blvd, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 260-3839.

Dr Theodore M Brink is licensed to practice in Florida (license number OFC2491) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174616155.

Contact Information

Dr Theodore M Brink, OD
11406-1 San Jose Blvd,
Jacksonville, FL 32223
(904) 260-3839
(904) 260-7879

Map and Direction




Healthcare Provider's Profile

Full NameDr Theodore M Brink
GenderMale
SpecialityOptometrist
Location11406-1 San Jose Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174616155
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1355481714
  • Enrollment ID: I20091219000041

Medical Identifiers

Medical identifiers for Dr Theodore M Brink such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174616155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OFC2491 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Theodore M Brink allows following entities to bill medicare on his behalf.
Provider NameMandarin Vision Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1942380183
PECOS PAC ID: 6800936006
Enrollment ID: O20091219000123
Provider NameFleming Island Vision Center, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245482710
PECOS PAC ID: 9638219793
Enrollment ID: O20091221000557

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theodore M Brink is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Theodore M Brink, OD
11406-1 San Jose Blvd,
Jacksonville, FL 32223

Ph: (904) 260-3839		Dr Theodore M Brink, OD
11406-1 San Jose Blvd,
Jacksonville, FL 32223

Ph: (904) 260-3839

Reviews and Comments


Optometrist in Jacksonville, FL

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.