Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Clark Nicholson, OD

Individual provider Optometrist · NPI 1992713309

Matthew Clark Nicholson, OD is an Optometry in Bourbonnais, Illinois. Qualified in 1994, 32 years ago. Practices with Fisher-Swale-Nicholson Eye Center SC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
32
Licensed in
IL
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

352 Brown Blvd
Bourbonnais, IL 60914-2458
Phone: (815) 932-2020
Fax: (815) 937-0060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046008729 (IL)

Record details

NPI number1992713309
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESMarch 7, 2023
Mailing address352 Brown Blvd, Bourbonnais, IL 60914-2458

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Fisher-Swale-Nicholson Eye Center Sc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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