GWA OPTICAL LLC (NPI# 1437760204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437760204 |
Entity Type | Organization |
Organization Name | GWA OPTICAL LLC |
Practice Address |
1811 Belvidere Rd Waukegan IL 60085-7221 |
Mailing Address |
3601 Sw 160th Ave Ste 400 Miramar FL 33027-6312 |
Practice Telephone | 3055579004 |
Practice Fax Number | 8558819434 |
Mailing Telephone | 3055579004 |
Mailing Fax Number | 8558819434 |
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 |
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 |
1265043038 | Gwa Optical LLC | Eyewear Supplier (Equipment, not the service) | 11 E 75th St, Chicago, IL 60619-1601 | 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 |
1811 BELVIDERE RD |
City | WAUKEGAN |
State | IL |
Zip Code | 60085-7221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750398780 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2006-08-02 |
1053926147 | Madeline Jean Walder | Pharmacist | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2020-09-15 |
1790398774 | Quang Thien Phan | Pharmacist | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2020-08-28 |
1346852621 | George Joseph | Pharmacist | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2020-08-19 |
1518342518 | Arthur Koudelka | Pharmacist | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2015-07-21 |
1336421916 | Alberto A Guerra | Pharmacist | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2011-09-09 |
1548541311 | Edward Song | Pharmacist | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2011-09-07 |
1164703658 | Helen Jung | Pharmacist | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2011-08-29 |
1982984449 | Yvette Jean Karb | Pharmacist | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2011-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
Find all providers in zip 60085 |
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 |
---|---|---|---|---|
1689724726 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3104 N Lewis Ave, Yorkhouse Commons, Waukegan, IL 60087-2231 | 2007-01-11 |
1134363179 | Vision Care Consultants, Ltd | Eyewear Supplier (Equipment, not the service) | 914 N Green Bay Rd, Waukegan, IL 60085-2240 | 2009-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174138168 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1550 W Lane Rd, Machesney Park, IL 61115-1903 | 2020-09-15 |
1588279566 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1190 S Randall Rd Ste 104, Elgin, IL 60123-4110 | 2020-09-15 |
1972129294 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 900 W North Ave, Chicago, IL 60642-2506 | 2020-06-23 |
1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
1710512488 | Glasses On Oak St | Eyewear Supplier (Equipment, not the service) | 900 N Michigan Ave Fl 5, Chicago, IL 60611-1542 | 2020-03-03 |
1861026890 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5300 Northwest Hwy, Crystal Lake, IL 60014-8072 | 2020-02-28 |
1952935181 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4999 Old Orchard Ctr Ste J4, Skokie, IL 60077-1450 | 2020-02-26 |
1194355917 | Fr Vision 360, Inc. | Eyewear Supplier (Equipment, not the service) | 111 E Morton Ave, Jacksonville, IL 62650-3059 | 2020-01-21 |
1114567443 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 6215 Northwest Hwy, Crystal Lake, IL 60014-7932 | 2020-01-15 |
1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
Find all providers with the same taxonomy |
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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.