GWA OPTICAL LLC (NPI# 1790333789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790333789 |
| Entity Type | Organization |
| Organization Name | GWA OPTICAL LLC |
| Practice Address |
324 Roosevelt Rd Glen Ellyn IL 60137-5647 |
| Mailing Address |
3601 Sw 160th Ave Ste 400 Miramar FL 33027-6312 |
| Practice Telephone | 3124928559 |
| Practice Fax Number | 3124928564 |
| Mailing Telephone | 3055579004 |
| Mailing Fax Number | 8558819434 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | MARIA GRIFFITH (VP OF VISION CLAIMS) |
| Authorized Official Telephone | 5132924137 |
| 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 |
| 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 |
| Street Address |
324 ROOSEVELT RD |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-5647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841274263 | Judy Ann Jakuszewski | Pharmacist | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2005-11-30 |
| 1831702851 | Mariam Baba | Pharmacist | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2020-08-28 |
| 1710487574 | Oms LLC | Optometrist | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2018-02-19 |
| 1508315185 | Anneliese Szutenbach | Pharmacist | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2016-09-23 |
| 1013393867 | Rebecca Pindel | Pharmacist | 324 Roosevelt Rd, Glen Ellyn, IL 60137 | 2015-08-04 |
| 1104169234 | Andrea Perri | Nurse Practitioner | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2013-03-27 |
| 1487938080 | Mary Ann Langman | Pharmacist | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2011-10-03 |
| 1144503301 | Lisa Capps | Nurse Practitioner | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2011-09-23 |
| 1639451818 | Rosalie Marie Lipon | Pharmacist | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2011-09-14 |
| 1588946628 | Joan Quach | Pharmacist | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2011-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| 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 |
|---|---|---|---|---|
| 1851587216 | Irish Eyes LLC | Eyewear Supplier (Equipment, not the service) | 489 Taft Ave, Suite 100, Glen Ellyn, IL 60137-8209 | 2007-09-19 |
| 1962883694 | Irish Eyes LLC | Eyewear Supplier (Equipment, not the service) | 489 Taft Ave, Suite 100, Glen Ellyn, IL 60137-8209 | 2015-06-18 |
| 1528206984 | Dupage Medical Group, Ltd. | Eyewear Supplier (Equipment, not the service) | 430 Pennsylvania Ave, 170, Glen Ellyn, IL 60137-4464 | 2009-01-23 |
| 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 | GLEN ELLYN |
| Zip Code | 60137 |
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.