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KIMBERLY MARIA MATHIS-HARRIS
NPI 1619566627
Technician/Technologist - Optician in Chicago, IL

Active since January 14, 2021
10908 S HALSTED ST, CHICAGO, IL 60628(773) 339-6556(773) 701-6055 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Jan 14, 2021 (2 updates tracked since 2021).

About Kimberly Maria Mathis-harris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MARIA MATHIS-HARRIS (NPI 1619566627) is an individual optician in Chicago, Illinois and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1619566627
Entity TypeIndividualFemale
Primary Taxonomy156FX1800X
Provider Legal NameKIMBERLY MARIA MATHIS-HARRIS
Location Address10908 S HALSTED STChicago, IL 60628-3128
Mailing Address10908 S Halsted StChicago, IL 60628-3128 · (773) 339-6556 · Fax (773) 701-6055
Phone(773) 339-6556
Fax(773) 701-6055
Sole ProprietorYes
Enumeration DateJanuary 14, 2021
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1619566627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
Also ListedEyewear SupplierTaxonomy 332H00000X
10908 S HALSTED ST, Chicago, IL 60628
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Mathis-harris's NPI number?

The NPI number for Kimberly Mathis-harris is 1619566627. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Kimberly Mathis-harris located?

Kimberly Mathis-harris practices at 10908 S Halsted St, Chicago, IL 60628. The listed phone number is (773) 339-6556.

What is Kimberly Mathis-harris's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Kimberly Mathis-harris was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.