Nicholas Whitesides, OD

NPI #1740142322 in Fairview Heights, Illinois

Provider Information

NPI Number: 1740142322
Entity Type: Individual
Name: Nicholas Whitesides, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 2, 2025
Last Updated: Dec 2, 2025

Practice Location

Address: 815 LINCOLN HWY
City: Fairview Heights
State: Illinois
ZIP Code: 62208-2230
Phone: (618) 628-8868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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