Charbonneau, Mary Underberg
Charbonneau, Mary Underberg is an sole proprietor health care provider with primary practice located at 501 N Navy Blvd Vision Center, Pensacola FL 32507-2011. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Charbonneau, Mary Underberg can be contacted via phone (850) 426-1747.Contact Information
Primary practice address
501 N Navy Blvd Vision Center
Pensacola FL 32507-2011
Phone: (850) 426-1747
Fax: (850) 453-6617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3406 | Florida |
Profile Details
| NPI number | 1962445189 |
|---|---|
| LBN Legal business name | Charbonneau, Mary Underberg |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 4th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962445189 | NPPES |
| Florida | MEDICAID | 003499800 |
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