Matthew Clark Nicholson is a Bourbonnais, Illinois based male Optometrist with 30 years of experience in Optometry. He completed his graduation from Other in 1994. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Matthew Clark Nicholson is 046008729 for Optometry in Illinois. Matthew Clark Nicholson examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Matthew Clark Nicholson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
30+ years
Medical School Attended:
Other
Graduation Year:
1994
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
352 Brown Blvd, Bourbonnais, Illinois, 60914-2458
Phone:
815-932-2020
Fax:
815-937-0060
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5799878971
Enrollment ID:
I20070904000434
NPI Number:
1992713309
NPI Enumeration Date:
03 Aug, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Clark Nicholson are as mentioned below.
License Number
Specialization
State
Status
046008729
Optometry
Illinois
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Matthew Clark Nicholson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Fisher-swale-nicholson Eye Center Sc (3173585858)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Matthew Clark Nicholson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
046008729
Medicaid
Illinois
346001680
Other
Illinois
CONTROLLED SUBSTANCE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
352 Brown Blvd, Bourbonnais, Illinois
Zip:
60914-2458
Phone Number:
815-932-2020
Fax Number:
815-937-0060
Patients can reach Matthew Clark Nicholson at 352 Brown Blvd, Bourbonnais, Illinois or can call to book an appointment on 815-932-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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