# BOSSIER FAMILY EYE CARE, INC.

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

## Provider details

- **NPI number:** 1245428275
- **Authorized official:** DR. CHRISTINE KAY PASTILONG O.D. (PRESIDENT)
- **Authorized official phone:** (318) 747-0302

## Contact information

- **Practice address:** 1519 DOCTORS DR STE 1, BOSSIER CITY, LA 71111-3676
- **Practice address phone:** (318) 747-0302
- **Practice address fax:** (318) 747-2742
- **Mailing address:** 1519 DOCTORS DR STE 1, BOSSIER CITY, LA 71111-3676
- **Mailing address phone:** (318) 747-0302
- **Mailing address fax:** (318) 747-2742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1197 365T | LA | Yes |

## Other

- **Enumeration date:** 10/03/2007
- **Last updated:** 10/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1538833 | — | LA |
| 01 | — | 19798032200 | HUMANA GOLD PLUS | — |
| 01 | — | 2369878820 | BLUE CROSS | LA |
| 01 | — | 8002824 | CIGNA | — |
