Absolute Vision Care LTD – Optometrist in Chicago, IL

Key facts

NPI: 1619002102
Entity type: Organization (NPI type 2)
Primary specialty: Optometrist 152W00000X
License: 046008476 (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
Organization subpart: No

Authorized official

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

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Rick E Peterson, O.D. Optometrist · Crestwood, IL · NPI 1841381340

NPD (past) Authorized official OPTOMETRIST
James B Sowinski, O.D. Optometrist · Mokena, IL · NPI 1679659775

NPD (past) OPTOMETRIST

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist Group: 193400000X SINGLE SPECIALTY GROUP	152W00000X	046008476	IL	Yes

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

Other identifiers

Identifier	Type	State	Issuer
DC7624	Other	IL	MEDICARE RR GROUP

Other providers in Chicago, IL

All providers in Chicago, IL · Optometrist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.