Individual provider · Type 1 NPI

Matthew David Wickham, OD

Optometrist · O Fallon, MO

NPI number 1083695803 Active

Practice location

3013 Winghaven Blvd
O Fallon, MO 63368-3600

Fax (636) 561-4068

Specialties and licenses

Taxonomy	Code	License
Optometrist Primary	152W00000X	T03134 (MO)

Optometrist: 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 e…

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About NPI 1083695803

Matthew David Wickham, OD's National Provider Identifier is 1083695803, issued on Nov 9, 2005. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in O Fallon, MO. The record was last updated on Mar 30, 2012.