GWA OPTICAL LLC (NPI# 1265043038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265043038 |
| Entity Type | Organization |
| Organization Name | GWA OPTICAL LLC |
| Practice Address |
11 E 75th St Chicago IL 60619-1601 |
| Mailing Address |
3601 Sw 160th Ave Ste 400 Miramar FL 33027-6312 |
| Practice Telephone | 3055579004 |
| Practice Fax Number | 8858819434 |
| Mailing Telephone | 3055579004 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | KIM GRIFFIN (MANAGER) |
| Authorized Official Telephone | 3055579004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679396 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 5440 N Clark St, Chicago, IL 60640-1210 | 2020-08-13 |
| 1437760204 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2020-08-13 |
| 1881205656 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 15 Grant Sq, Hinsdale, IL 60521-3360 | 2020-08-13 |
| 1780295550 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 800 Devon Ave, Park Ridge, IL 60068-4760 | 2020-08-13 |
| 1316597248 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 1554 E 55th St, Chicago, IL 60615-5550 | 2019-09-12 |
| 1316595390 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 3646 N Broadway St, Chicago, IL 60613-4418 | 2019-09-03 |
| 1629626601 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 15 N Buffalo Grove Rd, Buffalo Grove, IL 60089-1701 | 2019-09-03 |
| 1043868037 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 410 N Michigan Ave, Chicago, IL 60611-4213 | 2019-09-03 |
| 1518515592 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 780 Waukegan Rd, Deerfield, IL 60015-4305 | 2019-09-03 |
| 1093363079 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 200 E Roosevelt Rd, Villa Park, IL 60181-3500 | 2019-09-03 |
| Street Address |
11 E 75TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60619-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952318941 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 11 E 75th St, Chicago, IL 60619-1601 | 2006-08-02 |
| 1073125845 | Aisosa Deborah Okpogie | Pharmacy | 11 E 75th St, Chicago, IL 60619-1601 | 2020-08-21 |
| 1508495060 | Briancca C Marshall | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2020-04-06 |
| 1588916555 | Nicole Alexander | Nurse Practitioner | 11 E 75th St, Chicago, IL 60619-1601 | 2012-10-15 |
| 1447529524 | Peggy Ann Riggins | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-12-20 |
| 1174891758 | Jennifer L Willis | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-12-09 |
| 1164790010 | Kimberly Catledge | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-12-07 |
| 1942577267 | Elicia Williams-collins | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-12-01 |
| 1417224361 | Brian L Hill | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-11-21 |
| 1013294578 | Tonya N Payton-campbell | Pharmacist | 11 E 75th St, Chicago, IL 60619-1601 | 2011-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985061 | Tonia Dorsey | Durable Medical Equipment & Medical Supplies | 951 E 80th Street, Apt 1, Chicago, IL 60619 | 2020-02-24 |
| 1821635509 | Lisa Strader | Technician | 8605 S. Dorchester, Chicago, IL 60619 | 2019-12-02 |
| 1821647579 | Deborah Joves | Technician | 8258 S. Woodlawn Ave, Chicago, IL 60619 | 2019-09-05 |
| 1194372458 | Cognitive Focus Centers, Inc. | Clinic/Center | 901 E 95th St, Chicago, IL 60619 | 2019-08-21 |
| 1588136360 | Zantraquilla Z Madkins | Transportation Broker | 7829 South Wabash, Chicago, IL 60619 | 2018-12-18 |
| 1619447497 | Bria Stanciel | Case Manager/Care Coordinator | 8419 S Cottage Grove, Chicago, IL 60619 | 2018-12-05 |
| 1184153520 | Jordane Kelley | Nurse's Aide | 7339 S Wabash Ave, Chicago, IL 60619 | 2017-06-08 |
| 1205362977 | Kristen Suing | Psychologist | 1111 E 87th St Ste 300, Chicago, IL 60619 | 2017-05-02 |
| 1720525280 | Senior Healthcare Services Inc | Physical Therapist | 9133 South Stoney Island, Chicago, IL 60619 | 2017-01-23 |
| 1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
| Find all providers in zip 60619 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129294 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 900 W North Ave, Chicago, IL 60642-2506 | 2020-06-23 |
| 1710512488 | Glasses On Oak St | Eyewear Supplier (Equipment, not the service) | 900 N Michigan Ave Fl 5, Chicago, IL 60611-1542 | 2020-03-03 |
| 1518526789 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 851 W Randolph St Spc 2, Chicago, IL 60607-2310 | 2019-06-11 |
| 1679037642 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 135 S Lasalle St, Chicago, IL 60603 | 2019-01-24 |
| 1346713344 | Fullerton Vision LLC | Eyewear Supplier (Equipment, not the service) | 4959 W Fullerton Ave, Chicago, IL 60639-2505 | 2019-01-02 |
| 1386127892 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3432 N Southport Ave, Chicago, IL 60657-8289 | 2018-09-11 |
| 1073020335 | Luxury Eyesight, LLC | Eyewear Supplier (Equipment, not the service) | 1457 N Halsted St Unit B101, Chicago, IL 60642-2676 | 2018-01-08 |
| 1023535382 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1123 N State St, Chicago, IL 60610-2717 | 2017-08-28 |
| 1972020238 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 851 W Armitage Ave, Chicago, IL 60614-4328 | 2017-08-28 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.