| New Lenox Family Eyecare Ltd | |
|
1230 N Cedar Rd Unit A, New Lenox, IL 60451-1272 | |
| (815) 485-6533 | |
| Not Available |
| Full Name | New Lenox Family Eyecare Ltd |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1230 N Cedar Rd Unit A, New Lenox, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447462288 | NPI | - | NPPES |
| 09932408 | Other | IL | BLUE CROSS BLUE SHIELD |
| 9000022896 | Other | IL | VISION SERVICE PLAN INS |
| 212305 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Eric J Petecki |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508940123 PECOS PAC ID: 8921994922 Enrollment ID: I20040226000150 |
| Provider Name | Steven A Bubanko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033294871 PECOS PAC ID: 3375578164 Enrollment ID: I20051003000425 |
| Provider Name | Pauline Pakla Bubanko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750466504 PECOS PAC ID: 8820023617 Enrollment ID: I20051003000450 |
| Mailing Address | Practice Location Address |
|---|---|
| New Lenox Family Eyecare Ltd 1230 N Cedar Rd Unit A, New Lenox, IL 60451-1272 Ph: (815) 485-6533 | New Lenox Family Eyecare Ltd 1230 N Cedar Rd Unit A, New Lenox, IL 60451-1272 Ph: (815) 485-6533 |
Dr. Donald D Loconte, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1870 Silver Cross Blvd Ste 110, New Lenox, IL 60451 Phone: 815-485-2727 Fax: 815-485-3034 | |
Neha Chaudhary Gulati, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1870 Silver Cross Blvd Ste 110, New Lenox, IL 60451 Phone: 815-485-2727 Fax: 815-485-3034 | |
Dr. Steven Andrew Bubanko, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 352 W. Maple St., New Lenox, IL 60451 Phone: 815-485-6533 Fax: 815-485-6534 | |
Dr. Eric Jon Petecki, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1230 N Cedar Rd Unit A, New Lenox, IL 60451 Phone: 815-485-6533 Fax: 815-485-6534 | |
Dr. John M. Lancaster, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 402 E Lincoln Hwy, New Lenox, IL 60451 Phone: 815-485-3431 Fax: 815-485-1986 | |
Dr. Catherine C Sajn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1870 Silver Cross Blvd Ste 110, New Lenox, IL 60451 Phone: 815-485-2727 Fax: 815-485-3034 |