Jaclyn Charbonneau is a Optometrist practicing in Anaheim, California. The National Provider Identifier (NPI) is #1306739016, which was assigned on May 31, 2025, and the registration record was last updated on May 31, 2025. The practitioner's main practice location is at 5460 E La Palma Ave, Anaheim, CA 92807-2023; the contact telephone number is 7144637500. The primary taxonomy of Jaclyn Charbonneau is Optometrist (152W00000X). Jaclyn Charbonneau is licensed to practice in the state of California (#35973).
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
| NPI | 1306739016 |
| Entity Type | Individual |
| Provider Name | DR. JACLYN CHARBONNEAU |
| Gender | Female |
| Credential | OD |
| Practice Address |
5460 E La Palma Ave Anaheim CA 92807-2023 |
| Practice Telephone | 7144637500 |
| Mailing Address |
6 Shelton Ct Ladera Ranch CA 92694-0743 |
| Mailing Telephone | 9496832165 |
| Certification Date | 2025-05-31 |
| Enumeration Date | 2025-05-31 |
| Last Update Date | 2025-05-31 |
| Is Sole Proprietor | Y |
| PAC ID |
9436660933 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | JACLYN CHARBONNEAU |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Primary Specialty | OPTOMETRY |
| Address |
6 Shelton Ct Ladera Ranch CA 92694-0743 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 35973 | CA |
| Code | 152W00000X |
| Taxonomy | Optometrist |
| Classification | Optometrist |
| Grouping | Eye and Vision Services Providers |
| Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA's Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
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|---|---|---|---|
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| Bagga Optometry LLC | 360 Harbison Blvd # 52, Columbia, SC 29212-2248 | Optometrist | 2025-11-07 |
| Myeyedr Optometry of North Carolina, PLLC | 712 Seaboard Station Dr, Raleigh, NC 27604-1199 | Optometrist | 2025-11-06 |
| Myeyedr Optometry of North Carolina, PLLC | 8511 Colonnade Center Dr Ste 100, Raleigh, NC 27615-5846 | Optometrist | 2025-11-06 |
| Wells Hibbets PC PLLC | 1751 W Albany St, Broken Arrow, OK 74012-1462 | Optometrist | 2025-11-06 |
| Myeyedr Optometry of North Carolina, PLLC | 3211 Rogers Rd Ste 100, Wake Forest, NC 27587-3891 | Optometrist | 2025-11-06 |
| Kd Establishments | 17650 Nw 2nd Ave, Miami Gardens, FL 33169-5019 | Optometrist | 2025-11-07 |
| Diya Nakrani | 3747 Sunset Ln, Antioch, CA 94509-6101 | Optometrist | 2025-11-07 |
| Tiffany Le | 2784 Countrywalk Cir, San Jose, CA 95132-3507 | Optometrist | 2025-11-06 |
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| Street Address |
6 SHELTON CT |
| City | LADERA RANCH |
| State | CA |
| Zip Code | 92694-0743 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Deanna Othman | 12 Molly Loop, Ladera Ranch, CA 92694-0803 | Nurse Practitioner | 2025-10-08 |
| Shawn Philip Plowman | 800 Corporate Dr Ste 100, Ladera Ranch, CA 92694-1153 | Medical Physician Assistant | 2012-07-16 |
| Salvina Terese Rondoni | 27082 Oneill Dr Apt 931, Ladera Ranch, CA 92694-0982 | Counselor | 2023-03-13 |
| Better Together Speech & Language Services | 66 Three Vines Ct, Ladera Ranch, CA 92694-0409 | Speech-Language Pathologist | 2025-08-01 |
| Elyse Michelle Cop · Elyse Michelle Kloster | 92 Esencia Dr Unit 835, Rancho Mission Viejo, CA 92694-1363 | Dental Hygienist | 2023-09-08 |
| Lili Mi Qian | 45 Harwick Ct, Ladera Ranch, CA 92694-0319 | Behavior Technician | 2025-10-31 |
| Evelyn Spille | 93 Chadron Cir, Ladera Ranch, CA 92694-0616 | Clinical Neuropsychologist | 2025-01-13 |
| Melisenda Alisha Stone | 27762 Antonio Pkwy Ste L-1311, Ladera Ranch, CA 92694-1140 | Marriage & Family Therapist | 2017-08-24 |
| Melisenda A Stone | 27762 Antonio Pkwy Ste L-1311, Ladera Ranch, CA 92694-1140 | Marriage & Family Therapist | 2025-08-04 |
| Louise Kathleen Relth | 2 Maybeck Ln, Ladera Ranch, CA 92694-0223 | Health & Wellness Coach | 2025-06-11 |
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| Jaclyn Mccabe · Jaclyn Corrado | 1520 Sunday Dr Ste 309, Raleigh, NC 27607-5254 | Nutritionist | 2020-09-29 |
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| Stuart Charbonneau | 6304 N 99th St, Omaha, NE 68134-1528 | Optician | 2025-06-09 |
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| Serena Sue Charbonneau | 32 Silver Pond Rd, Wolcott, CT 06716-1055 | Clinical Social Worker | 2023-06-15 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |