Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Illinois Eyecare PLLC

Organization Optometrist · NPI 1144375866

Southern Illinois Eyecare PLLC is an Optometrist in Sparta, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 E Broadway St
Sparta, IL 62286-1889
Phone: (618) 443-5252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 047931268 (IL)

Record details

NPI number1144375866
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthern Illinois Eyecare, PC
Authorized official Scott Pouyat — President · (847) 395-8885
Other names Southern Illinois Eye Care; Sparta Eyecare
NPI enumeratedJanuary 24, 2007
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address520 E Broadway St, Sparta, IL 62286-1889

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