GWA OPTICAL LLC (NPI# 1780295550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780295550 |
| Entity Type | Organization |
| Organization Name | GWA OPTICAL LLC |
| Practice Address |
800 Devon Ave Park Ridge IL 60068-4760 |
| Mailing Address |
3601 Sw 160th Ave Ste 400 Miramar FL 33027-6312 |
| Practice Telephone | 3055579004 |
| Practice Fax Number | 8558819434 |
| 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 |
| 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 |
800 DEVON AVE |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-4760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962456954 | Lori Diamos | Physical Therapist | 800 Devon Ave, Suite 125, Park Ridge, IL 60068-4760 | 2006-05-22 |
| 1750993069 | Ryan Lee | Pharmacist | 800 Devon Ave, Park Ridge, IL 60068-4760 | 2020-08-18 |
| 1710497987 | Portia Cochrane | Nurse Practitioner | 800 Devon Ave, Park Ridge, IL 60068-4760 | 2017-10-02 |
| 1710338710 | Brian Rodriguez | Physical Therapist | 800 Devon Ave, Unit B, Park Ridge, IL 60068-4760 | 2016-06-30 |
| 1952757882 | Matthew Johnson | Physical Therapist | 800 Devon Ave, Park Ridge, IL 60068-4760 | 2016-05-10 |
| 1114381761 | Sunil Thomas | Physical Therapist | 800 Devon Ave, Park Ridge, IL 60068 | 2016-04-11 |
| 1457712697 | Jessica G Haar | Occupational Therapist | 800 Devon Ave, Park Ridge, IL 60068-4760 | 2016-03-16 |
| 1770953325 | Dewey Joern | Physical Therapist | 800 Devon Ave, Unit B, Park Ridge, IL 60068-4760 | 2015-09-25 |
| 1629472352 | Agnieszka Wasilik | Pharmacist | 800 Devon Ave, Park Ridge, IL 60068-4760 | 2014-10-09 |
| 1770917775 | Costantina Marie Capriati | Pharmacist | 800 Devon Ave, Park Ridge, IL 60068-4760 | 2013-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1760645972 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 140 N Nw Hwy, Shops At Uptown Optique Ste #b1a, Park Ridge, IL 60068-3342 | 2008-07-08 |
| 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 | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on GWA OPTICAL LLC.
| 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.