Healthcare Provider Details

I. General information

NPI: 1356655963
Provider Name (Legal Business Name): BRINK SURGICAL VISION INSTITUTE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 US HIGHWAY 1 STE 430
NORTH PALM BEACH FL
33408-3829
US

IV. Provider business mailing address

840 US HIGHWAY 1 STE 430
NORTH PALM BEACH FL
33408-3829
US

V. Phone/Fax

Practice location:
  • Phone: 561-626-5600
  • Fax: 561-626-8524
Mailing address:
  • Phone: 561-626-5600
  • Fax: 561-626-8524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberME43505
License Number StateFL

VIII. Authorized Official

Name: MATTHEW JAMES ANTONY BRINK
Title or Position: OWNER
Credential: MD
Phone: 561-626-5600