DR. JOSEPH LAROSE FONTENOT M.D. NPI 1649211277

NPI Information

NPI: 1649211277
Provider Name: DR. JOSEPH LAROSE FONTENOT, M.D.
Classification: Optometrist - 152WL0500X
Entity Type: Individual

Specialization: Low Vision Rehabilitation

PECOS Registration: Yes

Address:
600 BEL AIR BLVD
SUITE 110
MOBILE, AL
ZIP 36606
Phone: (251) 476-4744
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DR. Joseph Larose Fontenot, M.D. is a low vision rehabilitation optometrist in Mobile, AL. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. DR. Joseph Larose Fontenot, M.D. NPI is 1649211277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 BEL AIR BLVD
SUITE 110
MOBILE, AL
ZIP 36606-501
Phone: (251) 476-4744
Fax: (251) 476-4741

The NPI 1649211277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 1/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WL0500X	Optometrist	Low Vision Rehabilitation	00006597	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C78072	MEDICARE UPIN	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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