Matthew David Wickham in O Fallon - Optometrist
Matthew David Wickham - NPI 1083695803
Matthew David Wickham is a Optometrist in O Fallon, Missouri. Matthew David Wickham practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Matthew David Wickham is 1083695803. The last update date is 2012-03-30.
Matthew David Wickham's current location address is 3013 Winghaven Blvd, O Fallon, Missouri. You can contact this provider via phone number 6365613937 and fax number 6365614068. The mailing address for Matthew David Wickham is 3013 Winghaven Blvd, O Fallon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew David Wickham |
|---|---|
| Address | 3013 Winghaven Blvd, O Fallon, Missouri |
| Phone Number | 6365613937 |
| Fax Number | 6365614068 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1083695803 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2012-03-30 |
Provider Mailing Address Detail
| Address | 3013 Winghaven Blvd |
|---|---|
| City | O Fallon |
| State | Missouri (MO) |
| Post Code | 633683600 |
| Phone Number | 6365613937 |
| Fax Number | 6365614068 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | T03134 |
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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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Post Comment/ Review Below
What is the Matthew David Wickham's 1083695803?
The Matthew David Wickham's NPI (National Provider Identifier) Number is 1083695803. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Matthew David Wickham's facilities are geographically located?
The facilities of Matthew David Wickham are physically situated at the following location: 3013 Winghaven Blvd, O Fallon, MO, 633683600.
What is Matthew David Wickham's area of expertise and its corresponding taxonomy classification?
The Matthew David Wickham's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1083695803 to Matthew David Wickham?
The Centers for Medicare & Medicaid Services assigned the 1083695803 to Matthew David Wickham on 2005-11-09.
When was the Matthew David Wickham's information last updated?
The Matthew David Wickham's information was last updated on 2012-03-30.