Bossier Family Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1197 365T Issued in LA

Legal business name

BOSSIER FAMILY EYE CARE, INC.

Practice address

1519 Doctors Dr Ste 1
Bossier City, LA 71111-3676

Phone

(318) 747-0302

Fax

(318) 747-2742

NPI assigned

Oct 3, 2007

Last updated

Oct 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine Kay Pastilong, O.D.NPI 1487618401

Title

President

Phone

(318) 747-0302

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine K Pastilong, O.D.

  • Optometrist
  • Bossier City, LA
  • NPI 1487618401
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1245428275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 DOCTORS DR STE 1",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113676",
            "telephone_number": "318-747-0302",
            "fax_number": "318-747-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 DOCTORS DR STE 1",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113676",
            "telephone_number": "318-747-0302",
            "fax_number": "318-747-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSSIER FAMILY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "PASTILONG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-747-0302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1197 365T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2369878820",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD PLUS",
            "identifier": "19798032200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8002824",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538833",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bossier City Chiropractic Center
• Bossier City Prosthetic & Orthotics
• Bossier Council on Aging
• Bossier Eye Institute LLC
• Bossier Family Counseling, LLC
• Bossier Family Medical Clinic LLC
• Bossier Family Medicine, LLC (Bossier Family Medicine)
• Bossier Family Medicine, LLC (First Care Bossier)
• Bossier Healthcare LLC (Heritage Manor of Bossier)
• Bossier Office of Community Services Inc

• Optometrist in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.