Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW DAVID WICKHAM, OD
ActiveDR. MATTHEW DAVID WICKHAM, OD is a Optometrist healthcare provider located in O FALLON, Missouri. NPI 1083695803 is currently active in the NPPES registry. Verify at CMS.
Optometrist · O FALLON, MO
Registration Details
- NPI Number
- 1083695803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2005 (20.725787857154 yrs)
- Last Updated
- Mar 30, 2012
- License
-
T03134 (MO)
Practice Information
- Address
-
3013 WINGHAVEN BLVDO FALLON, MO, 633683600Browse MO providers · Browse ZIP 63368
- Phone
- 6365613937
- Fax
- 6365614068
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in O FALLON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN VINCENT CUSUMANO | O.D. | 1831192533 |
| DR. ROBERT ROTTLER | O.D. | 1376549378 |
| DR. TUYET K DOAN | O.D. | 1578569653 |
| DR. SCOTT A. TOMASINO | O.D. | 1124024906 |
| DR. JOSEPH P HEGYI | O.D. | 1649263856 |
| DR. LISA MARIE MACKEY | OD | 1982693297 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.