Absolute Vision Care Ltd
Optometrist in Chicago, IL. Organization (NPI-2).
NPI number1619002102
StatusActive
Last updated in NPPESMay 28, 2009
Details
- NPI
- 1619002102
- Entity type
- Organization (NPI-2)
- Legal business name
- Absolute Vision Care Ltd
- Organization subpart
- No
- Enumeration date
- Feb 23, 2007
- Last updated
- May 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046008476 | IL | Yes |
Practice location
2340 W 113th PlChicago, IL 60643-4107
Phone 708-912-4281
Mailing address
5553 127th StCrestwood, IL 60445-1123
Phone 708-912-4281
Authorized official
Rick Peterson
Owner
7083630008
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