Matthew Clark Nicholson, OD | |
352 Brown Blvd, Bourbonnais, IL 60914-2458 | |
(815) 932-2020 | |
(815) 937-0060 |
Full Name | Matthew Clark Nicholson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 30 Years |
Location | 352 Brown Blvd, Bourbonnais, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992713309 | NPI | - | NPPES |
046008729 | Medicaid | IL | |
346001680 | Other | IL | CONTROLLED SUBSTANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046008729 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fisher-swale-nicholson Eye Center Sc | 3173585858 | 5 |
Provider Name | Fisher-swale-nicholson Eye Center Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639277940 PECOS PAC ID: 3173585858 Enrollment ID: O20041104000050 |
Mailing Address | Practice Location Address |
---|---|
Matthew Clark Nicholson, OD 352 Brown Blvd, Bourbonnais, IL 60914-2458 Ph: (815) 932-2020 | Matthew Clark Nicholson, OD 352 Brown Blvd, Bourbonnais, IL 60914-2458 Ph: (815) 932-2020 |
Dr. Karyn Bassett, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 N Sr 50, Pearle Vision, Bourbonnais, IL 60914 Phone: 815-935-0404 Fax: 815-935-0489 | |
Dr. Tayler Peachey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 719 Almar Pkwy, Bourbonnais, IL 60914 Phone: 815-932-1116 | |
Drs Long & Dunlap Optometrist Medicare: Medicare Enrolled Practice Location: 42 Briarcliff Professional Center, Bourbonnais, IL 60914 Phone: 815-932-1116 Fax: 815-932-9919 | |
Deborah Ann Totos, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 N State Route 50, Rm 580 Northfield Square, Bourbonnais, IL 60914 Phone: 815-935-0404 Fax: 815-935-0489 | |
Dr. Dimple Mukesh Soni, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1602 N State Route 50, Bourbonnais, IL 60914 Phone: 815-932-2200 | |
Dr. Erik Ranta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 135 W River St, Bourbonnais, IL 60914 Phone: 708-289-0225 | |
Meyer Optical Co. Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 135 W River St, Bourbonnais, IL 60914 Phone: 815-939-2222 Fax: 815-939-0970 |