Community Services for Vision Rehabilitation, Inc.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

Legal business name

COMMUNITY SERVICES FOR VISION REHABILITATION, INC.

Practice address

600 Bel Air Blvd
Suite 110
Mobile, AL 36606-3511

Phone

(251) 476-4744

NPI assigned

Aug 19, 2006

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph L FontenotNPI 1649211277

Title

Medical Director

Phone

(251) 476-4744

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheri J Glaus, OD

  • Optometrist
  • Mobile, AL
  • NPI 1487677423
  Medicare reassignment Care Compare group NPD
• Leonard S Rich, MD

  • Ophthalmology Physician
  • Mobile, AL
  • NPI 1295708402
  Medicare reassignment Care Compare group NPD
• Joseph Larose Fontenot, M.D.

  • Low Vision Rehabilitation Optometrist
  • Mobile, AL
  • NPI 1649211277
  Authorized official Same address or phone
• Hilary Dollar, OTR

  • Occupational Therapist
  • Mobile, AL
  • NPI 1962742015
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1881708238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BEL AIR BLVD",
            "address_2": "SUITE 110",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063511",
            "telephone_number": "251-476-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BEL AIR BLVD",
            "address_2": "SUITE 110",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063511",
            "telephone_number": "251-476-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICES FOR VISION REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "251-476-4744"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529918300",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Low Vision Rehabilitation Optometrist in Mobile, AL
• Providers in Mobile, AL by specialty
• Low Vision Rehabilitation Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.