Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740142322 Individual Practitioner Male Practitioner

Dr. Nicholas Whitesides , OD

Optometrist • Fairview Heights, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Whitesides, OD is a certified Optometrist practicing in Fairview Heights, IL. With approximately 1 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 2025, Dr. Whitesides delivers high-quality medical care to the local community at 815 LINCOLN HWY.

Dr. Whitesides accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

815 Lincoln Hwy

Fairview Heights, IL 622082230

Telephone 6186288868
Associated Practice Facility / Clinic
🏢 New Venture Pharmacy Facility NPI 1801957444

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fairview Heights, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -19.7 yrs vs City Avg
City Avg: 20.7 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Fairview Heights, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whitesides (1 Years) 1 Yrs
Fairview Heights Specialty Average (20.7 Years) 20.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-02
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046.012058

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1316284847

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2025

Registered at 815 LINCOLN HWY, FAIRVIEW HEIGHTS, IL 622082230 (Tel: 6186288868)

📍
Updated Business Mailing Address December 02, 2025

Registered at 815 LINCOLN HWY, FAIRVIEW HEIGHTS, IL 622082230

👤
Provider Name / Credentials Updated December 02, 2025

Recorded as NICHOLAS WHITESIDES, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2025

Optometrist (License #046.012058 in IL)

🟢
Initial NPI Registration & Enumeration December 02, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740142322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2025
Last Update: December 02, 2025
Sole Proprietor: Yes

Mailing Address

815 Lincoln Hwy

Fairview Heights, IL 622082230

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.