Dr C Vision Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR C VISION CARE PLLC

Practice address

9409 W Highway 98 Ste 50
Pensacola, FL 32506-6134

Phone

(850) 456-2019

NPI assigned

Feb 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Alan Charbonneau, ODNPI 1699751594

Title

OD/Owner

Phone

(850) 456-2019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Alan Charbonneau, O.D.

  • Optometrist
  • Pensacola, FL
  • NPI 1699751594
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Underberg Charbonneau, O.D.

  • Optometrist
  • Pensacola, FL
  • NPI 1962445189
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1326631979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 W HIGHWAY 98 STE 50",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325066134",
            "telephone_number": "850-456-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 W HIGHWAY 98 STE 50",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325066134",
            "telephone_number": "850-456-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR C VISION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "CHARBONNEAU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "850-456-2019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean E Doyle, M.D.
• David W. Dozer, M.D.
• Dr Ben White DDS LLC
• Dr Brian Brennan DC PA
• Dr Bryan Boerjan Chiropractic PLLC
• Dr F Donald Colley Optometrist P a
• Dr Francis X. Albert, OD, PA
• Dr Joe a Jackson, MD PLLC
• Dr Mark Isenberg PA
• Dr Vicki Lee LLC

• Optometrist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.