Organization Active NPI

Absolute Vision Care LTD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1619002102
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008476 Issued in IL
Legal business name
ABSOLUTE VISION CARE LTD
Practice address
2340 W 113TH PL
Chicago, IL 60643-4107
Phone
(708) 912-4281
NPI assigned
Feb 23, 2007
Last updated
May 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rick Peterson, ODNPI 1841381340
Title
Owner
Phone
(708) 363-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046008476 IL Primary

Addresses

Primary practice location

2340 W 113TH PL
Chicago, IL 60643-4107

Mailing address

5553 127TH St
Crestwood, IL 60445-1123
Phone (708) 912-4281

National Provider Directory

National Provider Directory

Locations

5553 127th St
Crestwood, IL 60418
Phone (708) 371-5160

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1619002102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5553 127TH ST",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451123",
            "telephone_number": "708-912-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 W 113TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434107",
            "telephone_number": "708-912-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE VISION CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-363-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.