Organization
BOSSIER FAMILY EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE KAY PASTILONG O.D. (PRESIDENT)
(318) 747-0302
Entity
Organization
Contact information
Practice address
1519 DOCTORS DR STE 1, BOSSIER CITY, LA 71111-3676
(318) 747-0302
(318) 747-2742
Mailing address
1519 DOCTORS DR STE 1, BOSSIER CITY, LA 71111-3676
(318) 747-0302
(318) 747-2742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1197 365T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538833
—
LA
01
—
19798032200
HUMANA GOLD PLUS
—
01
—
2369878820
BLUE CROSS
LA
01
—
8002824
CIGNA
—
Enumeration date
10/03/2007
Last updated
10/23/2012
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