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SOUTHERN ILLINOIS EYECARE PLLC
NPI 1366582652
Optometrist in Du Quoin, IL

Active since February 07, 2007
630 S WASHINGTON ST, DU QUOIN, IL 62832(618) 542-6677 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 29, 2026, Jul 31, 2024 (2 updates tracked since 2024).

About Southern Illinois Eyecare Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ILLINOIS EYECARE PLLC (NPI 1366582652), doing business as Duquoin Eyecare, is a healthcare organization registered as an optometrist in Du Quoin, Illinois and active in the NPI registry since February 2007. The organization lists Scott Pouyat, President, as its authorized official.

NPPES Registry Identity

NPI1366582652
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTHERN ILLINOIS EYECARE PLLC
Location Address630 S WASHINGTON STDu Quoin, IL 62832-1906
Mailing Address630 S Washington StDu Quoin, IL 62832-1906 · (618) 542-6677
Phone(618) 542-6677
Organization SubpartYesParent: Southern Illinois Eyecare, Pc
Authorized OfficialScott PouyatPresident · (847) 395-8885
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1366582652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 047928086
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
630 S WASHINGTON ST, Du Quoin, IL 62832
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Other Names 2

Doing Business AsDuquoin Eyecare
Doing Business AsSouthern Illinois Eye Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Illinois Eyecare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Southern Illinois Eyecare PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Carolyn Gibson, OD
Optometry
NPI 1255313912
630 S WASHINGTON ST
Du Quoin, IL 62832
(618) 542-6677
✔ PECOS✔ Accepts MedicareSame address
Joseph Grasso, O.D.
Optometry
NPI 1003898768
15 N LOCUST ST
Pinckneyville, IL 62274
(618) 357-6117
✔ PECOS✔ Accepts Medicare8.9 mi
Lawrence Soellner, OD
Optometry
NPI 1073595005
425 W HOLMES ST
Chester, IL 62233
(618) 826-4521
✔ PECOS✔ Accepts Medicare33 mi
Bryan Hopkins, O.D.
Optometry
NPI 1346528569
10 LINCOLN HWY
Fairview Heights, IL 62208
(618) 624-0222
✔ PECOS✔ Accepts Medicare57 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Illinois Eyecare PLLC's NPI number?

The NPI number for Southern Illinois Eyecare PLLC is 1366582652. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as DuQuoin Eyecare and Southern Illinois Eye Care.

Where is Southern Illinois Eyecare PLLC located?

Southern Illinois Eyecare PLLC is located at 630 S Washington St, Du Quoin, IL 62832. The listed phone number is (618) 542-6677.

What is Southern Illinois Eyecare PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Southern Illinois Eyecare PLLC enrolled in Medicare?

Yes. Southern Illinois Eyecare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Illinois Eyecare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Southern Illinois Eyecare PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Illinois Eyecare PLLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.