The Retinal Institute of Louisiana

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

072372 Issued in LA

Legal business name

THE RETINAL INSTITUTE OF LOUISIANA

Practice address

10001 Lake Forest Blvd
Ste 701
New Orleans, LA 70127-5264

Phone

(504) 246-1966

Fax

(504) 241-0743

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

Dr. David Anthony Newsome, M.D.

Title

Ceo

Phone

(504) 246-1966

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992709885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 LAKE FOREST BLVD",
            "address_2": "STE 701",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701275264",
            "telephone_number": "504-246-1966",
            "fax_number": "504-241-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 LAKE FOREST BLVD",
            "address_2": "STE 701",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701275264",
            "telephone_number": "504-246-1966",
            "fax_number": "504-241-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETINAL INSTITUTE OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-246-1966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "072372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1355275",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1550710",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1941174",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.