Nicholas Whitesides, OD
NPI 1740142322 · Optometrist · Fairview Heights, IL
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Whitesides, OD is a Optometrist provider in Fairview Heights, IL (NPI 1740142322).
Provider details
- NPI number
- 1740142322
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 046.012058 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Nicholas Whitesides's NPI number?
- Nicholas Whitesides's National Provider Identifier (NPI) is 1740142322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Whitesides's specialty?
- Nicholas Whitesides is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Nicholas Whitesides located?
- Nicholas Whitesides's practice location on file with NPPES is 815 Lincoln Hwy, Fairview Heights, IL 62208-2230.
- What is Nicholas Whitesides's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Whitesides is (618) 628-8868.
- Does Nicholas Whitesides accept Medicare?
- Nicholas Whitesides is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Whitesides's NPI active?
- Yes — Nicholas Whitesides's NPI (1740142322) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.