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Contact Information

GWA OPTICAL LLC
3646 N BROADWAY ST
CHICAGO, IL60613-4418
 Phone: 773-549-3808
 Fax: 773-549-1054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for GWA OPTICAL LLC

NPI # 1316595390
LBN Legal business name GWA OPTICAL LLC
Authorized official MARIA GRIFFITH - (VP OF VISION CLAIMS)
Entity Organization
Organization subpart 1 No
Enumeration date 09/03/2019
Last updated 09/09/2019 - About 7 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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