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Nicholas Whitesides, OD

NPI 1740142322ActiveIndividual· Optometrist· Fairview Heights, IL

Optometrist (OD) in Fairview Heights, Illinois, trained at University of Missouri St Louis - School of Optometry (class of 2025). Enrolled in Medicare as practitioner - optometry.

Overview

NPI1740142322
StatusActive
Entity typeIndividual
CredentialOD
Sole proprietorYes
NPI issuedDec 2, 2025
Last updated in NPPESDec 2, 2025
Certified by providerDec 2, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X046.012058IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (IL)

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Missouri St Louis - School of Optometry
Graduation year2025
Medicare specialtyOptometry

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other optometrists in Fairview Heights

All 26 optometrists in Fairview Heights · All optometrists in Illinois