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SOUTHERN RETINAL INSTITUTE, LLC
NPI 1912419227
Ophthalmology in Metairie, LA

Active since October 26, 2017
2800 VETERANS MEMORIAL BLVD STE 160, METAIRIE, LA 70002(504) 264-9428(504) 264-9438 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 31, 2019, Mar 17, 2018, Dec 7, 2017 and 1 more (4 updates tracked since 2017).

About Southern Retinal Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN RETINAL INSTITUTE, LLC (NPI 1912419227) is a healthcare organization registered as an ophthalmology in Metairie, Louisiana and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Covington and lists Rhonda Garrison, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1912419227
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTHERN RETINAL INSTITUTE, LLC
Location Address2800 VETERANS MEMORIAL BLVD STE 160Metairie, LA 70002-6175
Mailing Address2800 Veterans Memorial Blvd Ste 160Metairie, LA 70002-6175 · (504) 264-9472
Phone(504) 264-9428
Fax(504) 264-9438
Organization SubpartNo
Authorized OfficialRhonda GarrisonCredentialing Coordinator · (865) 584-2127
Enumeration DateOctober 26, 2017
Last NPPES UpdateJanuary 31, 20194 updates tracked since enumeration
✔ NPI 1912419227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in LA · 202072
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2800 VETERANS MEMORIAL BLVD STE 160, Metairie, LA 70002
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Secondary Practice Location 1

Location 11421 Ochsner BlvdCovington, LA 70433-8110 · Phone (985) 590-5339 · Fax (985) 601-2958

Other Identifiers 1

Medicaid1162353LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Retinal Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Retinal Institute, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Patrick Osullivan, MD
Ophthalmology
NPI 1265642482
2800 VETERANS MEMORIAL BLVD STE 160
Metairie, LA 70002
(504) 264-9428
✔ PECOS✔ Accepts MedicareSame address
Ethan Stern, MD
Ophthalmology
NPI 1710470281
1116 W GANSON ST
Jackson, MI 49202
(877) 852-8463
✔ PECOS✔ Accepts Medicare903 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Retinal Institute, LLC's NPI number?

The NPI number for Southern Retinal Institute, LLC is 1912419227. It was assigned to this organization in the NPPES registry on October 26, 2017.

Where is Southern Retinal Institute, LLC located?

Southern Retinal Institute, LLC is located at 2800 Veterans Memorial Blvd Ste 160, Metairie, LA 70002. The listed phone number is (504) 264-9428.

What is Southern Retinal Institute, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Southern Retinal Institute, LLC enrolled in Medicare?

Yes. Southern Retinal Institute, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Retinal Institute, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Southern Retinal Institute, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Retinal Institute, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Alabama and 4 other insurers list Southern Retinal Institute, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Retinal Institute, LLC was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.