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Organization
COMMUNITY SERVICES FOR VISION REHABILITATION, INC.
Active
Organization
COMMUNITY SERVICES FOR VISION REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L FONTENOT (MEDICAL DIRECTOR)
(251) 476-4744
Entity
Organization
Contact information
Practice address
600 BEL AIR BLVD, SUITE 110, MOBILE, AL 36606-3511
(251) 476-4744
Mailing address
600 BEL AIR BLVD, SUITE 110, MOBILE, AL 36606-3511
(251) 476-4744
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529918300
—
AL
Enumeration date
08/19/2006
Last updated
10/29/2013
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