Pauline Pakla Bubanko (NPI# 1750466504, PAC ID# 8820023617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1750466504 |
| PAC ID by PECOS | 8820023617 |
| Professional Enrollment ID | I20051003000450 |
| Full Name | Pauline Pakla Bubanko |
| Organization Legal Name | NEW LENOX FAMILY EYECARE LTD |
| Address |
352 W Maple St New Lenox IL 60451-2954 |
| Phone Number | 8154856533 |
| Gender | F |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9739114513 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 352 W Maple St, New Lenox, IL 60451-2954 | 8154856533 | NEW LENOX FAMILY EYECARE LTD |
| 352 W Maple St, Suite A, New Lenox, IL 60451-2954 | 8154856533 | NEW LENOX FAMILY EYECARE LTD |
| Organization Legal Name | NEW LENOX FAMILY EYECARE LTD |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Bubanko | Optometry | New Lenox Family Eyecare Ltd | 1230 N Cedar Rd, Suite A, New Lenox, IL 60451-1202 |
| Eric J Petecki | Optometry | New Lenox Family Eyecare Ltd | 1230 N Cedar Rd, Suite A, New Lenox, IL 60451-1202 |
| Street Address |
352 W MAPLE ST |
| City | NEW LENOX |
| State | IL |
| Zip | 60451-2954 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krupa Mahesh Shah | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1890 Sivercross Blvd, Suite 215, New Lenox, IL 60451 |
| Melissa A Rivette | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1890 Sivercross Blvd, Suite 215, New Lenox, IL 60451 |
| Steven A Bubanko | Optometry | New Lenox Family Eyecare Ltd | 1230 N Cedar Rd, Suite A, New Lenox, IL 60451-1202 |
| Eric J Petecki | Optometry | New Lenox Family Eyecare Ltd | 1230 N Cedar Rd, Suite A, New Lenox, IL 60451-1202 |
| Deepake Bakane | Internal Medicine | 100 Batson Ct, New Lenox, IL 60451-1564 | |
| Rajasekhar Kolla | Family Medicine | 100 Batson Ct, Suite 204, New Lenox, IL 60451-1571 | |
| Michael L Veerman | Chiropractic | Mvp Chiropractic, LLC | 313 W Maple St, New Lenox, IL 60451-1633 |
| Stephen J Smitherman | Chiropractic | Mvp Chiropractic, LLC | 313 W Maple St, New Lenox, IL 60451-1633 |
| Gretchen Martinez Feliciano | Chiropractic | Mvp Chiropractic, LLC | 313 W Maple St, New Lenox, IL 60451-1633 |
| Molly J Carey | Chiropractic | Mvp Chiropractic, LLC | 313 W Maple St, New Lenox, IL 60451-1633 |
| Find all physicians in zip 60451 | |||
| City | NEW LENOX |
| Zip Code | 60451 |
| Specialty | OPTOMETRY |
| City + Specialty | NEW LENOX + OPTOMETRY |
Please comment or provide details below to improve the information on Pauline Pakla Bubanko.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.