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Active NPI 1750466504 Individual Practitioner Female Practitioner

Dr. Pauline Pakla Bubanko , OD

Optometrist • New Lenox, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pauline Bubanko, OD is a certified Optometrist practicing in New Lenox, IL. With approximately 26 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2000, Dr. Bubanko delivers high-quality medical care to the local community at 1230 N CEDAR RD UNIT A.

Dr. Bubanko is affiliated with New Lenox Family Eyecare Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1230 N Cedar Rd Unit A

New Lenox, IL 604511272

Telephone 8154856533
Fax 8154856534
Associated Practice Facility / Clinic
🏢 New Lenox Family Eyecare Ltd Facility NPI 1447462288

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in New Lenox, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs -1.9 yrs vs City Avg
City Avg: 27.9 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
8 Specialists

Practicing in New Lenox, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bubanko (26 Years) 26 Yrs
New Lenox Specialty Average (27.9 Years) 27.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
23 23 $165.00 $128.39
99213 Established patient office or other outpatient visit, typically 15 minutes
13 12 $105.00 $93.74

Medical Specialties & State Licenses

CMS Verified: 2024-11-22
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046009290

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
046009290 (IL)

Hospital & Practice Group Affiliations

New Lenox Family Eyecare Ltd

1230 N Cedar Rd, New Lenox, IL 604511272

Phone: 8154856533

New Lenox Family Eyecare Ltd

1230 N Cedar Rd, New Lenox, IL 604511202

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1033294871

Doctor of Optometry

NPI 1508940123

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 17, 2020

Registered at 1230 N CEDAR RD UNIT A, NEW LENOX, IL 604511272 (Tel: 8154856533)

📍
Updated Business Mailing Address April 17, 2020

Registered at 1230 N CEDAR RD UNIT A, NEW LENOX, IL 604511272 (Tel: 8154856533)

NPI Profile Active January 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2015

Registered at 352 W MAPLE ST., NEW LENOX, IL 60451 (Tel: 8154856533)

📍
Updated Business Mailing Address January 08, 2015

Registered at 352 W MAPLE ST., NEW LENOX, IL 60451 (Tel: 8154856533)

👤
Provider Name / Credentials Updated January 08, 2015

Recorded as PAULINE BUBANKO, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2015

Optometrist (License #046009290 in IL)

🟢
Initial NPI Registration & Enumeration October 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750466504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: November 22, 2024
Sole Proprietor: No

Mailing Address

1230 N Cedar Rd Unit A

New Lenox, IL 604511272

Phone: 8154856533

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.