Organization
KIMBERLY MATHIS-HARRIS
Active
Other names
The Eye Bar optics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MARIA MATHIS-HARRIS OPTICIAN (OWNER)
(773) 339-6556
Entity
Organization
Contact information
Practice address
1439 W 103RD ST STE 3, CHICAGO, IL 60643-2900
(773) 339-6556
(773) 701-6055
Mailing address
1439 W 103RD ST STE 3, CHICAGO, IL 60643-2900
(773) 339-6556
(773) 701-6055
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619566627
—
IL
Enumeration date
05/27/2021
Last updated
05/27/2021
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