Dr. Mary Underberg Charbonneau, O.D.
Optometrist in Pensacola, FL. Individual provider (NPI-1).
NPI number1962445189
StatusActive
Last updated in NPPESDec 4, 2015
Details
- NPI
- 1962445189
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Underberg Charbonneau
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2006
- Last updated
- Dec 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPC3406 | FL | Yes |
Other names
- Mary Underberg Rosenbaum (Former Name)
Practice location
501 N Navy BlvdVision Center
Pensacola, FL 32507-2011
Phone 850-426-1747 · Fax 850-453-6617
Mailing address
501 N Navy BlvdVision Center
Pensacola, FL 32507-2011
Phone 850-426-1747 · Fax 850-453-6617
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