David Patrick Charbeneau | Shelby Township, MI • PECOS Search

David Patrick Charbeneau

Optometrist

Eye and Vision Services Providers

51450 Shelby Parkway, Walmart Vision Center, Shelby Township, MI 48315

(586) 997-0658 (248) 652-7113

PECOS Enrollment

Based on the most recent information from CMS, provider David Patrick Charbeneau does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1518031533
Provider Type
Individual
Full Name
Charbeneau, David Patrick
Title
Dr.
Credential
OD

Gender
Male
Sole Proprietor
No
Enumeration Date
11/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

51450 Shelby Parkway, Walmart Vision Center, Shelby Township, MI 48315

(586) 997-3567

Mailing Location

60421 Eyster Rd, Rochester, MI 48306-2021

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License 4901002586 Michigan