GWA OPTICAL LLC (NPI# 1316595390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316595390 |
| Entity Type | Organization |
| Organization Name | GWA OPTICAL LLC |
| Practice Address |
3646 N Broadway St Chicago IL 60613-4418 |
| Mailing Address |
3601 Sw 160th Ave Ste 400 Miramar FL 33027-6312 |
| Practice Telephone | 7735493808 |
| Practice Fax Number | 7735491054 |
| 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 |
| 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 |
3646 N BROADWAY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275548596 | Walgreen Co | Pharmacy | 3646 N Broadway St, Chicago, IL 60613-4418 | 2006-07-29 |
| 1487154241 | Oms LLC | Optometrist | 3646 N Broadway St, Chicago, IL 60613-4418 | 2018-02-19 |
| 1689950974 | Ann Christine Felder | Pharmacist | 3646 N Broadway St, Chicago, IL 60613-4418 | 2011-10-31 |
| 1194000802 | Michael Paul Gerou | Pharmacist | 3646 N Broadway St, Chicago, IL 60613-4418 | 2011-10-13 |
| 1417232190 | Amanda Srubas | Pharmacist | 3646 N Broadway St, Chicago, IL 60613-4418 | 2011-10-13 |
| 1861672388 | Marie France Collin | Acupuncturist | 3646 N Broadway St, 2nd Floor, Chicago, IL 60613-4418 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| 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.