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Matthew Clark Nicholson, O.D.

Optometrist in Bourbonnais, IL · enumerated 2006 · practices at Fisher-Swale-Nicholson Eye Center Sc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992713309

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Registry record

Entity type Individual (Type 1)
Name Matthew Clark Nicholson
Credential O.D.
Sex Male
Practice address 352 Brown Blvd, Bourbonnais, IL, 60914
Phone (815) 932-2020
Fax (815) 937-0060
Enumeration date Aug 3, 2006
Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 046008729 (IL) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
046008729 Medicaid IL -
346001680 Other IL CONTROLLED SUBSTANCE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Matthew Nicholson practice?
The practice location on file with NPPES is in Bourbonnais, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Matthew Nicholson?
The National Provider Identifier (NPI) for Matthew Nicholson is 1992713309, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.