Matthew Clark Nicholson in Bourbonnais - Optometrist
Matthew Clark Nicholson - NPI 1992713309
Matthew Clark Nicholson is a Optometrist in Bourbonnais, Illinois. Matthew Clark Nicholson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Matthew Clark Nicholson is 1992713309. The last update date is 2023-03-07.
Matthew Clark Nicholson's current location address is 352 Brown Blvd, Bourbonnais, Illinois. You can contact this provider via phone number 8159322020 and fax number 8159370060. The mailing address for Matthew Clark Nicholson is 352 Brown Blvd, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Clark Nicholson |
|---|---|
| Address | 352 Brown Blvd, Bourbonnais, Illinois |
| Phone Number | 8159322020 |
| Fax Number | 8159370060 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1992713309 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 352 Brown Blvd |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 609142458 |
| Phone Number | 8159322020 |
| Fax Number | 8159370060 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46008729 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46008729 | IL | -- | |
| 346001680 | IL | CONTROLLED SUBSTANCE |
Post Comment/ Review Below
What is the Matthew Clark Nicholson's unique identification number?
The Matthew Clark Nicholson has been assigned the NPI (National Provider Identifier) Number 1992713309 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Matthew Clark Nicholson?
The Matthew Clark Nicholson is situated at 352 Brown Blvd, in the city of Bourbonnais, state of IL, with the zip code 609142458.
What is Matthew Clark Nicholson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Matthew Clark Nicholson is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992713309 to Matthew Clark Nicholson?
The Matthew Clark Nicholson received its 1992713309 assignment from the Centers for Medicare & Medicaid Services on 2006-08-03.
As of what date were the details related to Matthew Clark Nicholson most recently updated or revised?
The information pertaining to Matthew Clark Nicholson, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.
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