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

Individual provider Optometrist · NPI 1740142322

Nicholas Whitesides, OD is an Optometry in Fairview Heights, Illinois. Graduated from University of Missouri St Louis - School of Optometry in 2025, 1 year ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
IL
In the registry since
2025
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

815 Lincoln Hwy
Fairview Heights, IL 62208-2230
Phone: (618) 628-8868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.012058 (IL)

Record details

NPI number1740142322
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedDecember 2, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address815 Lincoln Hwy, Fairview Heights, IL 62208-2230

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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