DR. JACLYN CHARBONNEAU OD
NPI 1306739016
Optometrist in Anaheim, CA

Q: What is Jaclyn Charbonneau's NPI number?

The NPI number for Jaclyn Charbonneau is 1306739016. It was assigned to this individual provider in the NPPES registry on May 31, 2025.

Q: What is Jaclyn Charbonneau's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 31, 2025PECOS EnrolledAccepts Medicare Assignment

5460 E LA PALMA AVE, ANAHEIM, CA 92807(714) 463-7500 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jaclyn Charbonneau Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACLYN CHARBONNEAU OD (NPI 1306739016) is an individual optometrist in Anaheim, California, licensed in California (35973) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2025).

NPPES Registry Identity

NPI1306739016

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. JACLYN CHARBONNEAUCredential: OD

Location Address5460 E LA PALMA AVEAnaheim, CA 92807-2023

Mailing Address6 Shelton CtLadera Ranch, CA 92694-0743 · (949) 683-2165

Phone(714) 463-7500

Sole ProprietorYes

Medical School CMSSouthern California College Of OptometryGraduated 2025

Enumeration DateMay 31, 2025

NPPES CertifiedMay 31, 2025

✔ NPI 1306739016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 35973

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.

5460 E LA PALMA AVE, Anaheim, CA 92807

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jaclyn Charbonneau Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436660933

PECOS Enrollment IDI20250612002147

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jaclyn Charbonneau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marshall B. Ketchum University

Same address

Optometrist

5460 E LA PALMA AVE
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
131 clinicians in this Medicare group

NPI 1720101876 (714) 463-7500

Total Vision PC

71 mi

Optometrist

11717 BERNARDO PLAZA CT STE 105
San Diego, CA 92128

Reassigned Medicare billing, California enrollment
236 clinicians in this Medicare group

NPI 1356813711 (858) 487-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENNA LO

Student in an Organized Health Care Education/Training Program