GWA OPTICAL LLC - NPI 1114575198 - Eyewear Supplier in River Forest, IL

Q: What is the provider's specialty?

The provider's specialty is Eyewear Supplier with taxonomy code 332H00000X.

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About Gwa Optical Llc NPPES

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

GWA OPTICAL LLC (NPI 1114575198) is a healthcare organization registered as an eyewear supplier in River Forest, Illinois and active in the NPI registry since September 2019. The organization lists Maria Griffith, Vp Of Vision Claims, as its authorized official.

NPPES Registry Identity

NPI1114575198

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameGWA OPTICAL LLC

Location Address7251 LAKE STRiver Forest, IL 60305-2238

Mailing Address3601 Sw 160th Ave Ste 400Miramar, FL 33027-6312 · (305) 557-9004 · Fax (855) 881-9434

Phone(708) 366-9960

Fax(708) 366-1585

Organization SubpartNo

Authorized OfficialMaria GriffithVp Of Vision Claims · (513) 292-4137

Enumeration DateSeptember 3, 2019

Last NPPES UpdateSeptember 9, 20192 updates tracked since enumeration

✔ NPI 1114575198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

7251 LAKE ST, River Forest, IL 60305

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DICK J DERKS PHARMD

Pharmacist