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Contact Information

GWA OPTICAL LLC
800 DEVON AVE
PARK RIDGE, IL60068-4760
 Phone: 305-557-9004
 Fax: 855-881-9434
 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 # 1780295550
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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