Organization
THE RETINAL INSTITUTE OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANTHONY NEWSOME M.D. (CEO)
(504) 246-1966
Entity
Organization
Contact information
Practice address
10001 LAKE FOREST BLVD, STE 701, NEW ORLEANS, LA 70127-5264
(504) 246-1966
(504) 241-0743
Mailing address
10001 LAKE FOREST BLVD, STE 701, NEW ORLEANS, LA 70127-5264
(504) 246-1966
(504) 241-0743
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
072372
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1355275
—
LA
05
—
1550710
—
LA
05
—
1941174
—
LA
Enumeration date
06/08/2005
Last updated
08/22/2020
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