Grayslake Eyecare Assoc Ltd

NPI #1003031030 in Grayslake, Illinois

Provider Information

NPI Number: 1003031030
Entity Type: Organization
Organization Name: Grayslake Eyecare Assoc Ltd
Primary Specialty: Optometrist
Enumeration Date: Apr 16, 2007
Last Updated: Jul 21, 2017

Practice Location

Address: 661 N LAKE ST
City: Grayslake
State: Illinois
ZIP Code: 60030-1471
Phone: (847) 223-7600

Authorized Official

Name: DR. SCOTT POUYAT, OD
Title: OPTOMETRIST
Phone: (847) 223-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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