Brandon Joseph Charbonneau, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003694 Issued in CO

Practice address

702 W Drake Rd BLDG B
Fort Collins, CO 80526-5563

Phone

(970) 221-4811

NPI assigned

Jun 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Associates, P.C.Group PAC ID 1254222037, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eyecare Associates, P.C.

  • Optometrist
  • Fort Collins, CO
  • NPI 1457566143
  Medicare reassignment Care Compare group NPD
• Eyecare Associates, P.C.

  • Optometrist
  • Fort Collins, CO
  • NPI 1609747997
  NPD

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1336717800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 ORCHARD PL APT 44",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805216005",
            "telephone_number": "620-481-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD BLDG B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265563",
            "telephone_number": "970-221-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONNEAU",
        "first_name": "BRANDON",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey K Chapman, MD
• Karin Chapman, CMT
• Robyn Chapman
• Nathaniel S Chappelle, MD
• Alyssa Charbonneau, PT
• Jacqueline Michelle Charbonneau, LCSW
• Jessie Charbonneau
• Jean Charbonnet, CNIM
• Phaedra Charles
• Nichole Chase

• Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.