Matthew Clark Nicholson, O.D.

NPI #1992713309 in Bourbonnais, Illinois

Provider Information

NPI Number: 1992713309
Entity Type: Individual
Name: Matthew Clark Nicholson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 3, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 352 BROWN BLVD
City: Bourbonnais
State: Illinois
ZIP Code: 60914-2458
Phone: (815) 932-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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