Pauline Pakla Bubanko in New Lenox - Optometrist
Pauline Pakla Bubanko - NPI 1750466504
Pauline Pakla Bubanko is a Optometrist in New Lenox, Illinois. Pauline Pakla Bubanko practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Pauline Pakla Bubanko is 1750466504. The last update date is 2020-04-17.
Pauline Pakla Bubanko's current location address is 1230 N Cedar Rd Unit A, New Lenox, Illinois. You can contact this provider via phone number 8154856533 and fax number 8154856534. The mailing address for Pauline Pakla Bubanko is 1230 N Cedar Rd Unit A, New Lenox, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Pauline Pakla Bubanko |
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Address | 1230 N Cedar Rd Unit A, New Lenox, Illinois |
Phone Number | 8154856533 |
Fax Number | 8154856534 |
Sole Proprietor | N |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1750466504 |
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Provider Enumeration Date | 2006-10-26 |
Last Updated Date | 2020-04-17 |
Provider Mailing Address Detail
Address | 1230 N Cedar Rd Unit A |
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City | New Lenox |
State | Illinois (IL) |
Post Code | 604511272 |
Phone Number | 8154856533 |
Fax Number | 8154856534 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 46009290 |
Definition: 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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
46009290 | IL | STATE LICENSE |
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What is the Pauline Pakla Bubanko's unique identification number?
The Pauline Pakla Bubanko has been assigned the NPI (National Provider Identifier) Number 1750466504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Pauline Pakla Bubanko's physical address?
The Pauline Pakla Bubanko is physically located at 1230 N Cedar Rd Unit A, in the city of New Lenox, IL, with the postal code 604511272.
What is Pauline Pakla Bubanko's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pauline Pakla Bubanko is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did Pauline Pakla Bubanko receive its 1750466504 assignment?
The Pauline Pakla Bubanko was assigned its 1750466504 on 2006-10-26, which is the date when this unique identifier was issued to the organization.
As of what date were the Pauline Pakla Bubanko's details last updated?
The information pertaining to the Pauline Pakla Bubanko, including its address, specialty, and other details, was most recently updated on 2020-04-17.
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