NPIMap

Organization Active NPI

Southern Illinois Eyecare PLLC

Doing business as Chester Eyecare

  • Optometrist
  • Chester, IL
National Provider Identifier
1902951536
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
043008311 Issued in IL
Legal business name
SOUTHERN ILLINOIS EYECARE PLLC
Doing business as
Chester Eyecare
Southern Illinois Eye Care
Practice address
425 W. Holmes
Chester, IL 62233
Phone
(618) 826-4521
NPI assigned
Jan 24, 2007
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN ILLINOIS EYECARE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2026

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
Optometrist 152W00000X 043008311 IL Primary

Addresses

Primary practice location

425 W. Holmes
Chester, IL 62233

Mailing address

425 W Holmes St
Chester, IL 62233-1331
Phone (618) 826-4521

Other names 2

  • Chester Eyecare Doing business as
  • Southern Illinois Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050105000352 IL Part B Supplier - Clinic/Group Practice 8729036983 Receives reassigned benefits from 4 practitioners
4 other NPIs on this enrollment
Practice locations: Pinckneyville, IL; Sparta, IL; Du Quoin, IL; Chester, IL
O20100930053589 IL DME Supplier - Physician - Optometrist 8729036983 Practice locations: Chester, IL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Southern Illinois Eyeca

Locations

1209 Swanwick St
Chester, IL 62233
Phone (618) 826-4521

7909 State Route 14
Du Quoin, IL 62832
Phone (618) 542-6677

7909 State Route 14
Ste 200
Du Quoin, IL 62832
Phone (618) 542-6677

521 N Borders Ave
Ste B
Marissa, IL 62257
Phone (618) 295-1600

714 S Saint Louis St
Sparta, IL 62286
Phone (618) 443-5252

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1902951536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W HOLMES ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331331",
            "telephone_number": "618-826-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W. HOLMES",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "62233",
            "telephone_number": "618-826-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS EYECARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN ILLINOIS EYECARE, PC",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "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": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "043008311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chester Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Illinois Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.