NPI 1003031030

Grayslake Eyecare Assoc LTD

Organisation Optometrist Grayslake, IL

Practice location

Address: 661 N Lake St, Grayslake, IL 60030-1471
Phone: (847) 223-7600
Fax: (847) 548-7653

Authorised official

Name: Scott Pouyat
Title: Optometrist
Phone: (847) 223-7600

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046009065 (IL)

Other Optometrist providers in Illinois →

Registry record

NPI: 1003031030
Entity type: Organization
NPI issued: 16 Apr 2007
Record last updated: 21 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.