BOSSIER FAMILY EYE CARE, INC. (NPI# 1245428275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245428275 |
| Entity Type | Organization |
| Organization Name | BOSSIER FAMILY EYE CARE, INC. |
| Practice Address |
1519 Doctors Dr Ste 1 Bossier City LA 71111-3676 |
| Practice Telephone | 3187470302 |
| Practice Fax Number | 3187472742 |
| Mailing Telephone | 3187470302 |
| Mailing Fax Number | 3187472742 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | DR. CHRISTINE KAY PASTILONG (PRESIDENT) |
| Authorized Official Telephone | 3187470302 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1197 365T | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HUMANA GOLD PLUS | 19798032200 | 01 | |
| CIGNA | 8002824 | 01 | |
| LA | 1538833 | 05 | |
| LA | BLUE CROSS | 2369878820 | 01 |
| Street Address |
1519 DOCTORS DR STE 1 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487618401 | Christine K Pastilong | Optometrist | 1519 Doctors Dr Ste 1, Bossier City, LA 71111-3676 | 2006-04-14 |
| 1134436975 | Haygood Dental Care, LLC | Dentist | 1519 Doctors Dr Ste 1, Bossier City, LA 71111-3676 | 2010-08-31 |
| 1740401751 | Caroline Langley Lewing | Dentist | 1519 Doctors Dr Ste 1, Bossier City, LA 71111-3676 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811513898 | Sagar Raman Desai | Optometrist | 2300 Hospital Dr Ste 140, Bossier City, LA 71111-2193 | 2020-06-24 |
| 1093907818 | Kelvin Lamark Garner | Optometrist | 5914 Summerville Ln, Bossier City, LA 71111-5605 | 2007-08-15 |
| 1457411456 | Roger Davis | Optometrist | 2950 E Texas St Ste 302, #24, Bossier City, LA 71111-3259 | 2006-12-11 |
| 1952404352 | Deana Mcgowan Clifton | Optometrist | 1000 Chinaberry Dr, Suite 302, Bossier City, LA 71111-2442 | 2006-09-07 |
| 1043240906 | Charles Savage Adams | Optometrist | 1911 Benton Rd, Ste C, Bossier City, LA 71111 | 2006-07-04 |
| 1487618401 | Christine K Pastilong | Optometrist | 1519 Doctors Dr Ste 1, Bossier City, LA 71111-3676 | 2006-04-14 |
| 1679979694 | Alicia P Crooks, A Professional Optometry LLC | Optometrist | 2536 Airline Dr, Bossier City, LA 71111-5813 | 2014-11-19 |
| 1548546526 | Deana M Clifton A Professional Optometry Corporation | Optometrist | 1000 Chinaberry Dr, Suite 302, Bossier City, LA 71111-2438 | 2011-10-23 |
| 1124203542 | Charles S Adams Od Apc | Optometrist | 1911 Benton Rd, Suite C, Bossier City, LA 71111-3500 | 2008-01-03 |
| 1235256819 | Carl Aris Kelly IIi | Optometrist | 2915 E Texas St, Bossier City, LA 71111-3201 | 2007-03-26 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.