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DR. MARY UNDERBERG CHARBONNEAU O.D.
NPI 1962445189
Optometrist in Pensacola, FL

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
501 N NAVY BLVD, VISION CENTER, PENSACOLA, FL 32507(850) 426-1747(850) 453-6617 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mary Underberg Charbonneau O.d. NPPES

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

DR. MARY UNDERBERG CHARBONNEAU O.D. (NPI 1962445189) is an individual optometrist in Pensacola, Florida, licensed in Florida (OPC3406) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1962445189
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARY UNDERBERG CHARBONNEAUCredential: O.D.
Location Address501 N NAVY BLVD, VISION CENTERPensacola, FL 32507-2011
Mailing Address501 N Navy Blvd, Vision CenterPensacola, FL 32507-2011 · (850) 426-1747 · Fax (850) 453-6617
Phone(850) 426-1747
Fax(850) 453-6617
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJune 14, 2006
Last NPPES UpdateDecember 4, 2015
✔ NPI 1962445189 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 FL · OPC3406
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.
501 N NAVY BLVD, Pensacola, FL 32507
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Other Names 1

Former Name (1)Mary Underberg Rosenbaum Od

Other Identifiers 2

Medicare UPINU4133AFL
Medicaid003499800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Mary Underberg Charbonneau O.d. 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 ID446201495
PECOS Enrollment IDI20050207000760
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

3

Medicare enrollment records show Mary Charbonneau reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Escambia Community Clinics Inc
2.6 mi
Federally Qualified Health Center (FQHC)
2315 W JACKSON ST
Pensacola, FL 32505
  • Reassigned Medicare billing, Florida enrollment
  • 61 clinicians in this Medicare group
NPI 1518971597 (850) 436-4630
Dr C Vision Care PLLC
3.9 mi
Optometrist
9409 W HIGHWAY 98 STE 50
Pensacola, FL 32506
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1326631979 (850) 456-2019
Coastal Family Eyecare Inc
19 mi
Optometrist
27250 PERDIDO BEACH BLVD UNIT C
Orange Beach, AL 36561
  • Reassigned Medicare billing, Alabama and Florida enrollments
  • 2 clinicians in this Medicare group
NPI 1457416562 (251) 974-1233

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
76 services74 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
42 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services11 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
14 services13 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32507 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 4

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

WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
501 N NAVY BLVD
PENSACOLA, FL 32507
Escambia County (850) 453-6434
WAL-MART STORES EAST, LP
Eyewear Supplier
501 N NAVY BLVD
PENSACOLA, FL 32507
Escambia County (850) 453-6022
KATIE G MCCREARY, OD, PL
Optometrist
501 N NAVY BLVD
PENSACOLA, FL 32507
Escambia County (850) 453-6635
MURALI KRISHNA BANDARUPALLI
Pharmacist
501 N NAVY BLVD
PENSACOLA, FL 32507
Escambia County (850) 453-6434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Charbonneau's NPI number?

The NPI number for Mary Charbonneau is 1962445189. It was assigned to this individual provider in the NPPES registry on June 14, 2006. The provider is also known as Mary Underberg Rosenbaum Od.

Where is Mary Charbonneau located?

Mary Charbonneau practices at 501 N Navy Blvd Vision Center, Pensacola, FL 32507. The listed phone number is (850) 426-1747.

What is Mary Charbonneau's specialty?

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

Is Mary Charbonneau enrolled in Medicare?

Yes. Mary Charbonneau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Charbonneau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Charbonneau reassigns Medicare benefits to 3 organizations: Escambia Community Clinics Inc (Pensacola, FL), Dr C Vision Care PLLC (Pensacola, FL) and Coastal Family Eyecare Inc (Orange Beach, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Charbonneau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Charbonneau accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Alabama and 13 other insurers list Mary Charbonneau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Charbonneau was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.