Organization
GRAYSLAKE EYECARE ASSOC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT POUYAT OD (OPTOMETRIST)
(847) 223-7600
Entity
Organization
Contact information
Practice address
661 N LAKE ST, GRAYSLAKE, IL 60030-1471
(847) 223-7600
(847) 548-7653
Mailing address
661 N LAKE ST, GRAYSLAKE, IL 60030-1471
(847) 223-7600
(847) 548-7653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009065
IL
Other
Enumeration date
04/16/2007
Last updated
07/21/2017
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