Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jaclyn Charbonneau, OD

Individual provider Optometrist · NPI 1306739016

Dr. Jaclyn Charbonneau, OD is an Optometry in Anaheim, California. Graduated from Southern California College of Optometry in 2025, 1 year ago. Practices with Marshall B Ketchum University, a 55-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5460 E La Palma Ave
Anaheim, CA 92807-2023
Phone: (714) 463-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 35973 (CA)

Record details

NPI number1306739016
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 31, 2025
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2025 (1 years in practice)
Group practice Marshall B Ketchum University — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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