Individual provider Active NPI

Kristie Jo Barbaro, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1376799288
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-010316 Issued in IL
Practice address
675 N Saint Clair St
15TH Floor
Chicago, IL 60611-5975
Phone
(312) 695-8150
Fax
(312) 695-3652
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3112-35 WI
Optometrist 152W00000X 046-010316 IL Primary

Addresses

Primary practice location

675 N Saint Clair St
15TH Floor
Chicago, IL 60611-5975

Mailing address

675 N Saint Clair St
15TH Floor
Chicago, IL 60611-5975
Phone (312) 695-8150

Other identifiers 1

IdentifierTypeStateIssuer
000547354OtherWIMEDICARE PTAN

Other names 1

  • Miss Kristie Jo Charles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924001043 IL Practitioner - Optometry 8224104443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye PCGroup PAC ID 8729236773, 2 clinicians

Practice addresses (Care Compare)

2600 Warrenville Rd
Downers Grove, IL 60515-1761

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-010316ILMDOptometrist
3112-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University CurrentSince Mar 15, 2025 Accepting new patients
Midwest Eye, P.C. Optometrist CurrentSince Mar 3, 2022 Accepting new patients
Midwestern University Optometrist CurrentSince Mar 15, 2025 Accepting new patients
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired Optometrist Past Accepting new patients
Midwest Eye, P.C. Optometrist Past Accepting new patients

Locations

26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500

3450 Lacey Rd
Downers Grove, IL 60515
Phone (630) 743-4500

3450 Lacey Rd
Ste 211
Downers Grove, IL 60515
Phone (630) 743-4500

2600 Warrenville Rd
Ste 211
Downers Grove, IL 60515
Phone (630) 560-4730

3450 Lacey Rd
Ste 602
Downers Grove, IL 60515
Phone (630) 743-4500

Interoperability endpoints

  • Direct secure messaging: kbarbaro25318@direct.midwestern.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1376799288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N SAINT CLAIR ST",
            "address_2": "15TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115975",
            "telephone_number": "312-695-8150",
            "fax_number": "312-695-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N SAINT CLAIR ST",
            "address_2": "15TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115975",
            "telephone_number": "312-695-8150",
            "fax_number": "312-695-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBARO",
        "first_name": "KRISTIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3112-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-010316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000547354",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "CHARLES",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.