New Lenox Family Eyecare LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NEW LENOX FAMILY EYECARE LTD

Practice address

1230 N Cedar Rd Unit a
New Lenox, IL 60451-1272

Phone

(815) 485-6533

NPI assigned

May 4, 2007

Last updated

Apr 4, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steve Bubanko, O.D.

Title

Secretary Treasurer

Phone

(815) 485-6533

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pauline Pakla Bubanko, O.D.

  • Optometrist
  • New Lenox, IL
  • NPI 1750466504
  Medicare reassignment Care Compare group NPD
• Steven Andrew Bubanko, O.D.

  • Optometrist
  • New Lenox, IL
  • NPI 1033294871
  Medicare reassignment Care Compare group NPD
• Eric Jon Petecki, O.D.

  • Optometrist
  • New Lenox, IL
  • NPI 1508940123
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1447462288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N CEDAR RD UNIT A",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511272",
            "telephone_number": "815-485-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N CEDAR RD UNIT A",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511272",
            "telephone_number": "815-485-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LENOX FAMILY EYECARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "BUBANKO",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "815-485-6533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "212305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN INS",
            "identifier": "9000022896",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09932408",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karlynn Ness, APRN
• Melissa Sue Neubauer, PHARM.D.
• Neuro Assessment Services PLLC
• New Lenox Anesthesia LLC
• New Lenox Chiropractic Center LTD
• New Lenox Fire Protection District
• New Lenox School District 122
• NGX Illinois SC
• Nicole Graves, DDS, PC (New Lenox Family Dental)
• Hollie Ann Nieland, FNP-BC

• Optometrist in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.