# THE RETINA INSTITUTE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144275017
- **Authorized official:** DR. SHEHAB A. EBRAHIM M.D. (PRINCIPAL PROVIDER)
- **Authorized official phone:** (504) 455-0500

## Contact information

- **Practice address:** 2701 N CAUSEWAY BLVD, METAIRIE, LA 70002-6029
- **Practice address phone:** (504) 455-0500
- **Practice address fax:** (504) 455-3730
- **Mailing address:** 2701 N CAUSEWAY BLVD, METAIRIE, LA 70002-6029
- **Mailing address phone:** (504) 455-0500
- **Mailing address fax:** (504) 455-3730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 13621R | LA | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 09/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1424099 | — | LA |
