Grayslake Eyecare Assoc LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009065 Issued in IL

Legal business name

GRAYSLAKE EYECARE ASSOC LTD

Practice address

661 N Lake St
Grayslake, IL 60030-1471

Phone

(847) 223-7600

Fax

(847) 548-7653

NPI assigned

Apr 16, 2007

Last updated

Jul 21, 2017By 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. Scott Pouyat, ODNPI 1316059728

Title

Optometrist

Phone

(847) 223-7600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 7

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.

• Berta Newton, OD

  • Optometrist
  • Antioch, IL
  • NPI 1124540083
  Medicare reassignment Care Compare group NPD
• Himanee Patel, OD

  • Optometrist
  • Chicago, IL
  • NPI 1558006056
  Medicare reassignment Care Compare group NPD
• Scott D Pouyat, O.D

  • Optometrist
  • Lake Zurich, IL
  • NPI 1316059728
  Medicare reassignment NPD Authorized official
• Riya Rose Philip, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1295402725

  IL

  Medicare reassignment Care Compare group NPD
• Amit Bhambri, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1144517020
  Medicare reassignment NPD
• Constance S Copeland, OD, PHD

  • Optometrist
  • Rockford, IL
  • NPI 1508857202
  Medicare reassignment NPD
• Payal Patel, O.D.

  • Optometrist
  • Crystal Lake, IL
  • NPI 1013158674
  Medicare reassignment NPD

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1003031030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 N LAKE ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301471",
            "telephone_number": "847-223-7600",
            "fax_number": "847-548-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 N LAKE ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301471",
            "telephone_number": "847-223-7600",
            "fax_number": "847-548-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSLAKE EYECARE ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "POUYAT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-223-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Grant, LCSW
• Grayslake CC District 46
• Grayslake Community High School District 127
• Grayslake Dental Crare
• Grayslake Dental Studio PLLC
• Grayslake Family Health Center SC
• Grayslake Fire Protection District
• Grayslake Oral and Maxillofacial Surgery
• Grayslake Orthodontics Inc
• Grayslake Rehabilitation and Complete Physical Therapy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.