Scott D Pouyat, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

46009065 Issued in IL

Practice address

534 N Rand Rd
C/O Lake Zurich Eyecare
Lake Zurich, IL 60047-3103

Phone

(847) 550-5228

NPI assigned

Aug 31, 2006

Last updated

Jun 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

New England College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SKK Optometrists PLLCGroup PAC ID 6507135142, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SKK Optometrists PLLC

  dba Lake Zurich EyeCare

  • Optometrist
  • Lake Zurich, IL
  • NPI 1972615391
  Medicare reassignment Care Compare group NPD Authorized official
• Alan Optical PLLC

  • Optometrist
  • Buffalo Grove, IL
  • NPI 1346377991
  Medicare reassignment NPD Authorized official
• Antioch Eyecare LLC

  • Optometrist
  • Antioch, IL
  • NPI 1417485061
  Medicare reassignment NPD Authorized official
• Grayslake Eyecare Assoc LTD

  • Optometrist
  • Grayslake, IL
  • NPI 1003031030
  Medicare reassignment NPD Authorized official
• Dennis Delee OD PLLC

  dba Dean Optical

  • Corneal and Contact Management Optometrist
  • Chicago, IL
  • NPI 1659497071
  NPD Authorized official
• Oneopto Il 1 PLLC

  dba Lake Zurich Eyecare

  • Optometrist
  • Lake Zurich, IL
  • NPI 1699647016
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1316059728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 N RAND RD",
            "address_2": "C/O LAKE ZURICH EYECARE",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473103",
            "telephone_number": "847-997-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N RAND RD",
            "address_2": "C/O LAKE ZURICH EYECARE",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473103",
            "telephone_number": "847-550-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUYAT",
        "first_name": "SCOTT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.