Scott Damon Pouyat (NPI# 1316059728, PAC ID# 7618137472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1316059728 |
PAC ID by PECOS | 7618137472 |
Professional Enrollment ID | I20120402000369 |
Full Name | Scott Damon Pouyat |
Address |
661 N Lake St Grayslake Eyecare Grayslake IL 60030-1471 |
Phone Number | 8472237600 |
Gender | M |
Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
Graduation Year | 1997 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
661 N Lake St, Grayslake Eyecare, Grayslake, IL 60030-1471 | 8472237600 | |
661 N Lake St, Grayslake, IL 60030-1471 | 8472237600 | GRAYSLAKE EYECARE ASSOC LTD |
534 N Rand Rd, Lake Zurich Eyecare, Lake Zurich, IL 60047-3103 | 8475505228 | |
534 N Rand Rd, Lake Zurich, IL 60047-3103 | 8475505228 | SKK OPTOMETRISTS LIMITED |
Street Address |
661 N LAKE ST GRAYSLAKE EYECARE |
City | GRAYSLAKE |
State | IL |
Zip | 60030-1471 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diane E Petersen | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Suite 120, Grayslake, IL 60030 |
Gail M Weil | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Suite 120, Grayslake, IL 60030 |
Andrea Bercos | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Grayslake, IL 60030 |
Marty J Ziemer | Clinical Social Worker | 34140 N Hickory Ave, Grayslake, IL 60030-1016 | |
Griff J Winters | Podiatry | 770 Barron Blvd, Grayslake, IL 60030-1330 | |
Daniel S Tresley | Ophthalmology | 661 Lake St, Grayslake, IL 60030-1471 | |
Leah Pendarvis | Psychologist, Clinical | 11 N Slusser St, Grayslake, IL 60030-1524 | |
Charles E Hutchcraft | Clinical Social Worker | Counseling Center of Grayslake Ltd | 106 Ctr St, Grayslake, IL 60030-1533 |
Julie A Pettinato | Clinical Social Worker | Counseling Center of Grayslake Ltd | 106 Ctr St, Grayslake, IL 60030-1533 |
Terrence Ray Miller | Chiropractic | 242 Ctr St, Grayslake, IL 60030-1535 | |
Find all physicians in zip 60030 |
City | GRAYSLAKE |
Zip Code | 60030 |
Specialty | OPTOMETRY |
City + Specialty | GRAYSLAKE + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.