KIMBERLY MARIA MATHIS-HARRIS
Technician/Technologist (Optician)

Address: 1439 W 103rd St Ste 3, Chicago, IL 60643-2900

KIMBERLY MARIA MATHIS-HARRIS (NPI# 1619566627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619566627
Entity Type Individual
Full Name KIMBERLY MARIA MATHIS-HARRIS
Gender Female
Practice Address 1439 W 103rd St Ste 3
Chicago
IL 60643-2900
Practice Telephone 7733396556
Mailing Address 1439 W 103rd St Ste 3
Chicago
IL 60643-2900
Mailing Telephone 7733396556
Certification Date 2021-01-14
Enumeration Date 2021-01-14
Last Update Date 2021-01-14
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL Theeyebaroptics@gmail.com (theeyebaroptics@gmail.com) 1439 W 103rd St Ste 3, Chicago, IL 606432900 Health Information Exchange (HIE) CSV

Office Location

Street Address 1439 W 103RD ST STE 3
City CHICAGO
State IL
Zip Code 60643-2900

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1427647767 The Learning Curve Aba LLC Behavior Analyst 9905 S Peoria St, Chicago, IL 60643 2021-01-12
1295324713 Miguel Angel Tapia Physical Medicine & Rehabilitation 1113 S Western Ave, Chicago, IL 60643 2021-01-11
1154941698 Breann Hampton Behavior Technician 1214 W 115th St, Chicago, IL 60643 2020-04-24
1366075566 Sanctuary Counseling, LLC Home Health 12247 S Racine Ave, Calumet Park, IL 60643 2020-02-16
1467082883 Juliana Frances Cunningham Developmental Therapist 10037 S Bell, Chicago, IL 60643 2020-01-24
1013578624 Sct Counseling Counselor 11948 S Western Ave, Chicago, IL 60643 2019-06-25
1073087474 For Eyes Optical Company of Pa Optometrist 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 2019-01-18
1073096426 Derek Peake Physical Therapist 9465 S. Western Road, Chicago, IL 60643 2018-09-12
1508356072 Halo Medical Professionals Sc. · Halo Medical Professionals Chiropractor · Rehabilitation 10650 S Western Ave, Chicago, IL 60643 2018-05-10
1811405699 Kara Eileen Noland Developmental Therapist 9327 S Hamilton Ave, Chicago, IL 60643 2018-01-16
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700364171 National Vision Inc · America's Best Contacts & Eyeglasses 4068 North Milwaukee Avenue, Chicago, IL 60641 2018-07-30
1184140014 Efp Opticians On Dearborn, LLC 1205 N Dearborn St, Chicago, IL 60610-2213 2017-08-22
1205291267 National Vision, Inc. · America's Best Contacts & Eyeglasses 11750 S Marshfield Ave, Chicago, IL 60643-4904 2015-12-17
1639547870 Kevin Young 2915 N Broadway St, Chicago, IL 60657-5313 2015-09-04
1336565985 Vytautas Tamulis 3457 W 111th St, Chicago, IL 60655-3335 2014-03-06
1477993186 Wal-Mart Stores Inc · Wal-Mart Vision Center 30-5965 10900 S. Doty Ave, Chicago, IL 60064 2013-06-26
1649610593 Zb Optical Inc. · Zoe Bernard Optical 7847 S Maryland Ave, Suite 100b, Chicago, IL 60619 2013-06-25
1538482344 Polo Optyka Inc 3021 N Milwaukee Ave, Chicago, IL 60618-6612 2010-03-08
1609013143 Price Optical Limited 8541 S Cottage Grove Ave, Chicago, IL 60619-6115 2009-01-20
1487817409 Guile's Eyewear Boutique Inc. · None 3041 N Lotus Ave, Chicago, IL 60641-4818 2008-07-09
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Competitor

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City CHICAGO
Zip Code 60643

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.