Individual
DR. MATTHEW CHARLES FALCONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6407 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-2720
(618) 398-5005
(618) 852-1930
Mailing address
6407 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-2720
(618) 398-5005
(618) 852-1930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011663
IL
Other
Enumeration date
08/01/2022
Last updated
03/30/2026
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