Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pauline Pakla Bubanko, OD

Individual provider Optometrist · NPI 1750466504

Dr. Pauline Pakla Bubanko, OD is an Optometry in New Lenox, Illinois. Graduated from Illinois College of Optometry at Chicago in 2000, 26 years ago. Practices with New Lenox Family Eyecare Ltd, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Trained at
Illinois College of Optometry at Chicago
Licensed in
IL
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1230 N Cedar Rd Unit A
New Lenox, IL 60451-1272
Phone: (815) 485-6533
Fax: (815) 485-6534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046009290 (IL)

Record details

NPI number1750466504
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2000 (26 years in practice)
Group practice New Lenox Family Eyecare Ltd — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Lenox