Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW CLARK NICHOLSON, O.D.
ActiveMATTHEW CLARK NICHOLSON, O.D. is a Optometrist healthcare provider located in BOURBONNAIS, Illinois. NPI 1992713309 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BOURBONNAIS, IL
Registration Details
- NPI Number
- 1992713309
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2006 (20.010685009839 yrs)
- Last Updated
- Mar 7, 2023
- License
-
046008729 (IL)
Practice Information
- Address
-
352 BROWN BLVDBOURBONNAIS, IL, 609142458Browse IL providers · Browse ZIP 60914
- Phone
- 8159322020
- Fax
- 8159370060
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BOURBONNAIS, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JOE LOUIS LONG | O.D. | 1396810222 |
| DR. BRENT PATRICK DUNLAP | O.D. | 1760557698 |
| DAVID THOMAS SPENGEL | O.D. | 1306909445 |
| DEBORAH ANN TOTOS | O.D. | 1104989110 |
| DR. SHAWN W. DANAHEY | O.D. | 1538204995 |
| DR. ERIK RANTA | O.D. | 1245566363 |
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.