GWA OPTICAL LLC; NPI #1265043038

Contact Information

GWA OPTICAL LLC

11 E 75TH ST
CHICAGO, IL 60619-1601

Phone: 305-557-9004
Fax: 885-881-9434
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for GWA OPTICAL LLC

NPI Number	`1265043038`
LBN Legal business name	GWA OPTICAL LLC
Authorized official	KIM GRIFFIN - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/13/2020
Last updated	08/13/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GWA OPTICAL LLC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for GWA OPTICAL LLC

Reviews for GWA OPTICAL LLC