NPI 1043868037

Gwa Optical LLC

Organisation Eyewear Supplier Chicago, IL

Practice location

Address: 410 N Michigan Ave, Chicago, IL 60611-4213
Phone: (812) 321-0951
Fax: (312) 321-0065
Mailing address: 3601 SW 160th Ave STE 400, Miramar, FL 33027-6312

Authorised official

Name: Maria Griffith
Title: Vp of Vision Claims
Phone: (513) 292-4137

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

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Registry record

NPI: 1043868037
Entity type: Organization
NPI issued: 3 Sep 2019
Record last updated: 9 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.