Charles Alan Charbonneau, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4286 Issued in FL

Practice address

2951 S Blue Angel Pkwy
Pensacola, FL 32506-6906

Phone

(850) 456-2019

Fax

(850) 458-4946

NPI assigned

Dec 21, 2005

Last updated

Dec 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr C Vision Care PLLCGroup PAC ID 3971919705, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.charbonneau@uprisedirect.com

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

• Dr C Vision Care PLLC

  • Optometrist
  • Pensacola, FL
  • NPI 1326631979
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1699751594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 S BLUE ANGEL PKWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325066906",
            "telephone_number": "850-456-2019",
            "fax_number": "850-458-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 S BLUE ANGEL PKWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325066906",
            "telephone_number": "850-456-2019",
            "fax_number": "850-458-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONNEAU",
        "first_name": "CHARLES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "L544145",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri Rose Chandler, CRNA
• Leo C Chandler
• Charles Emory Chapleau, M.D.
• Marie-Lisette Dimitrew Chapman, ACNP
• Vivian Chapman
• Mary Underberg Charbonneau, O.D.
• Charles E Chapleau M D Neurosurgery PLLC
• Charles P. Riley MD PA (Gulf Coast Cardiology)
• Elizabeth Rose Charles, LMHC
• Lashica Shartrece Charley, M.S,

• 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 Dec 4, 2015; 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.