Organization
SOUTHERN ILLINOIS EYECARE PLLC
Active
Parent organization
SOUTHERN ILLINOIS EYECARE, PC
Other names
DuQuoin Eyecare, Southern Illinois Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN ILLINOIS EYECARE, PC
Authorized official
SCOTT POUYAT (PRESIDENT)
(847) 395-8885
Entity
Organization
Contact information
Practice address
630 S WASHINGTON ST, DU QUOIN, IL 62832-1906
(618) 542-6677
Mailing address
630 S WASHINGTON ST, DU QUOIN, IL 62832-1906
(618) 542-6677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
047928086
IL
Other
Enumeration date
02/07/2007
Last updated
05/29/2026
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