Oneopto Il 1 PLLC
Organization Active NPI Optometrist · Sparta, IL
NPI 1750253167 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1750253167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ONEOPTO IL 1 PLLC
- Practice address
- 520 E Broadway St
Sparta, IL 62286-1889 - Phone
- (618) 443-5252
- Fax
- (618) 443-2350
- NPI assigned
- Sep 23, 2025
- Organization subpart
- No
Authorized official
- Name
- Scott Pouyat
- Title
- President
- Phone
- (847) 395-8885
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Oneopto Il 1 PLLC
Locations
520 E Broadway St
Sparta, IL 62286
Phone (618) 443-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
520 E Broadway St
Sparta, IL 62286-1889
Mailing address
520 E Broadway St
Sparta, IL 62286-1889
Phone (618) 443-5252
Other names
- Southern Illinois Eye Care
Other providers in Sparta, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.