Christine K Pastilong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1197-365T Issued in LA

Practice address

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

Phone

(318) 747-0302

Fax

(318) 747-2742

NPI assigned

Apr 14, 2006

Last updated

Oct 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bossier Family Eye Care, Inc.

  • Optometrist
  • Bossier City, LA
  • NPI 1245428275
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1487618401",
    "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": {
        "last_name": "PASTILONG",
        "first_name": "CHRISTINE",
        "middle_name": "K",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1197-365T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538833",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Ryan Palmer, M.D.
• Kiah Danae Pannebaker, RBT
• George S Park, PH.D., M.P.
• Chelsea Parker, MCD, CCC-SLP
• Milford Earl Parker Sr.
• Sarah Patterson
• Jennifer Bond Patton, NP
• Courtney Guin Paul, M.A., CCC-SLP
• Adrian Pavlick, M.D.
• Tushar Pawar, MD

• 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.