Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Maria Mathis-Harris

Individual provider Eyewear Supplier · NPI 1619566627

Kimberly Maria Mathis-Harris is an Eyewear Supplier in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

10908 S Halsted St
Chicago, IL 60628-3128
Phone: (773) 339-6556
Fax: (773) 701-6055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X
Eyewear Supplier Taxonomy 332H00000X

Record details

NPI number1619566627
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2021
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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