Kimberly Maria Mathis-Harris

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

10908 S Halsted St
Chicago, IL 60628-3128

Phone

(773) 339-6556

Fax

(773) 701-6055

NPI assigned

Jan 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Kimberly Mathis-Harris

  • Eyewear Supplier
  • Chicago, IL
  • NPI 1730754169
  NPD Authorized official

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1619566627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10908 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283128",
            "telephone_number": "773-339-6556",
            "fax_number": "773-701-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10908 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283128",
            "telephone_number": "773-339-6556",
            "fax_number": "773-701-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS-HARRIS",
        "first_name": "KIMBERLY",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theeyebaroptics@gmail.com",
            "affiliation": "N",
            "endpointDescription": "theeyebaroptics@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1439 W 103rd St Ste 3",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606432900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theeyebaroptics@gmail.com",
            "affiliation": "N",
            "endpointDescription": "theeyebaroptics@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10908 S Halsted St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606283128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiju Mathews
• Jane Mathewson
• Jason Scott Mathias, MD
• Laura A Mathias, M.P.T.
• Sonya Jane Mathies Dinizulu, PH.D.
• Laura L Mathis, PSYD
• Rosa I Mathis, DNP
• Luke Mathison
• Krista Mathson, O.D.
• Arjun Mathur

• Optician in Chicago, IL
• Providers in Chicago, IL by specialty
• Optician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.