NPIMap

Organization Active NPI

Oneopto Il 1 PLLC

Doing business as Southern Illinois Eye Care

  • Optometrist
  • Du Quoin, IL
National Provider Identifier
1821960246
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ONEOPTO IL 1 PLLC
Doing business as
Southern Illinois Eye Care
Practice address
630 S Washington St
Du Quoin, IL 62832-1906
Phone
(618) 542-6677
Fax
(618) 542-6688
NPI assigned
Sep 23, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Scott Pouyat
Title
President
Phone
(847) 395-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

630 S Washington St
Du Quoin, IL 62832-1906

Mailing address

630 S Washington St
Du Quoin, IL 62832-1906
Phone (618) 542-6677

Other names 1

  • Southern Illinois Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oneopto Il 1 PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

630 S Washington St
Du Quoin, IL 62832
Phone (618) 542-6677

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1821960246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S WASHINGTON ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628321906",
            "telephone_number": "618-542-6677",
            "fax_number": "618-542-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S WASHINGTON ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628321906",
            "telephone_number": "618-542-6677",
            "fax_number": "618-542-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEOPTO IL 1 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "POUYAT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-395-8885"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Illinois Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Du Quoin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.