Active NPI
Kristie Jo Barbaro, O.D.
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-010316
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000547354 | Other | WI | MEDICARE PTAN |
Other names 1
- Miss Kristie Jo Charles
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
Practice addresses (Care Compare)
2600 Warrenville Rd
Downers Grove, IL 60515-1761
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-010316 | IL | MD | Optometrist |
| 3112-35 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern University | Current | Accepting new patients | |
| Midwest Eye, P.C. | Optometrist | Current | Accepting new patients |
| Midwestern University | Optometrist | Current | 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
- 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.
-
- Optometrist
- Downers Grove, IL
- NPI 1295126324
-
- Optometrist
- Westchester, IL
- NPI 1043589963
-
- Low Vision Rehabilitation Optometrist
- Chicago, IL
- NPI 1043326309
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.