The Retina Institute, L.L.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13621R Issued in LA

Legal business name

THE RETINA INSTITUTE, L.L.C.

Practice address

2701 N Causeway Blvd
Metairie, LA 70002-6029

Phone

(504) 455-0500

Fax

(504) 455-3730

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shehab A. Ebrahim, M.D.NPI 1578556213

Title

Principal Provider

Phone

(504) 455-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

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.

• Shehab Azmy Ebrahim, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Metairie, LA
  • NPI 1578556213
  Medicare reassignment NPD Authorized official
• Jamie Trinh Vu, FNP-C

  • Family Nurse Practitioner
  • Metairie, LA
  • NPI 1487229340
  NPD
• Vivian Mai Vu, M.D.

  • Family Medicine Physician
  • Metairie, LA
  • NPI 1952578106
  NPD
• William Kenneth Mask, M.D.

  • Diagnostic Radiology Physician
  • Durham, NC
  • NPI 1215030507
  NPD
• Clayton Gregory Mazoue, M.D.

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1982808762
  NPD

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1144275017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026029",
            "telephone_number": "504-455-0500",
            "fax_number": "504-455-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026029",
            "telephone_number": "504-455-0500",
            "fax_number": "504-455-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETINA INSTITUTE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "EBRAHIM",
        "authorized_official_first_name": "SHEHAB",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRINCIPAL PROVIDER",
        "authorized_official_telephone_number": "504-455-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "13621R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1424099",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Pain Intervention Center
• The Perioclinic LLC
• The Perioclinic LLC
• The Primary Care Group of East Jefferson, LLC
• The Refuge 18-2 LLC
• The Rheumatology Group, LLC
• The Rose Clinic, Apmc
• The Sated Soul, LLC
• The Skin Surgery Centre, LLC
• The Young Men's Christian Association of Greater New Orleans, la

• Ophthalmology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.