Healthcare Provider Details

I. General information

NPI: 1386735884
Provider Name (Legal Business Name): ABSOLUTE VISION CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6515 W 127TH ST
PALOS HEIGHTS IL
60463-2249
US

IV. Provider business mailing address

6515 W 127TH ST
PALOS HEIGHTS IL
60463-2249
US

V. Phone/Fax

Practice location:
  • Phone: 708-371-5160
  • Fax: 708-371-5180
Mailing address:
  • Phone: 708-371-5160
  • Fax: 708-371-5180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICK E PETERSON
Title or Position: OWNER
Credential: O.D.
Phone: 708-371-5160