Rick E Peterson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008476 Issued in IL

Practice address

5553 127TH St
Crestwood, IL 60445-1123

Phone

(708) 371-5160

Fax

(708) 930-1844

NPI assigned

Sep 27, 2006

Last updated

Feb 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Absolute Vision Care II LTDGroup PAC ID 0244366375, 3 clinicians

Absolute Vision Care III, Inc.Group PAC ID 6305991795, 2 clinicians

Absolute Vision Care LTDGroup PAC ID 2365428760, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Absolute Vision Care III, Inc.

  • Optometrist
  • Manhattan, IL
  • NPI 1891922100
  Medicare reassignment Care Compare group NPD Authorized official
• Absolute Vision Care LTD

  • Optometrist
  • Palos Heights, IL
  • NPI 1386735884
  Medicare reassignment Care Compare group NPD Authorized official
• Absolute Vision Care II LTD

  • Optometrist
  • Mokena, IL
  • NPI 1245313626
  Medicare reassignment Care Compare group NPD
• Absolute Vision Care LTD

  • Optometrist
  • Chicago, IL
  • NPI 1619002102
  NPD (past) Authorized official
• United Eye Care Providers, LLC

  • Optometrist
  • Lemont, IL
  • NPI 1013070093
  NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1841381340",
    "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": "604181123",
            "telephone_number": "708-371-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5553 127TH ST",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451123",
            "telephone_number": "708-371-5160",
            "fax_number": "708-930-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RICK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Lynn Padezanin, OTR/L
• Palos Heights Rehabilitation LLC
• Rechalkumari Patel, OD
• Shannon Marie Peake, SLP
• Emily Peele, PT
• Susan A Peterson, OTRL
• Jennifer Anne Pilon
• Lisa Pittman Pittman-Hardin
• Kimberley Marie Powers, OTR/L
• Deborah A Pruim, APN

• Optometrist in Crestwood, IL
• Providers in Crestwood, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.