# THE RETINAL INSTITUTE OF LOUISIANA

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

## Provider details

- **NPI number:** 1992709885
- **Authorized official:** DR. DAVID ANTHONY NEWSOME M.D. (CEO)
- **Authorized official phone:** (504) 246-1966

## Contact information

- **Practice address:** 10001 LAKE FOREST BLVD, STE 701, NEW ORLEANS, LA 70127-5264
- **Practice address phone:** (504) 246-1966
- **Practice address fax:** (504) 241-0743
- **Mailing address:** 10001 LAKE FOREST BLVD, STE 701, NEW ORLEANS, LA 70127-5264
- **Mailing address phone:** (504) 246-1966
- **Mailing address fax:** (504) 241-0743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 072372 | LA | Yes |

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1355275 | — | LA |
| 05 | — | 1550710 | — | LA |
| 05 | — | 1941174 | — | LA |