Marina Bobanovic

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011403 Issued in IL

Practice address

3250 N Lincoln Ave
Chicago, IL 60657-1117

Phone

(773) 935-2020

NPI assigned

May 15, 2025

Last updated

Jun 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marina Sostaric Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lyons Family Eyecare PCGroup PAC ID 3577752690, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lyons Family Eyecare PC

  • Optometrist
  • Chicago, IL
  • NPI 1720389190
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1801687140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 CRAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571117",
            "telephone_number": "773-935-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 W Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606251913",
            "country_code": "US",
            "telephone_number": "773-935-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBANOVIC",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "SOSTARIC",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn E Boatwright, DPT
• Patricia Mary Boatwright, M.D.,
• Jessica Bobadilla, LCSW
• Jonathan Bobadilla
• Alyssa Bobak, PA-C
• Kishore Bobba, M.D
• Kaitlyn Elizabeth Bobbitt, DPT
• Bobby E Wright CBHC, Inc
• Bobby E Wright Ccmhc
• Bobby E Wright Ccmhc

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.