NPIMap

Organization Active NPI

Gwa Optical LLC

  • Eyewear Supplier
  • Chicago, IL
National Provider Identifier
1043868037
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
GWA OPTICAL LLC
Practice address
410 N Michigan Ave
Chicago, IL 60611-4213
Phone
(812) 321-0951
Fax
(312) 321-0065
NPI assigned
Sep 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Griffith
Title
VP of Vision Claims
Phone
(513) 292-4137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

410 N Michigan Ave
Chicago, IL 60611-4213

Mailing address

3601 SW 160TH Ave Ste 400
Miramar, FL 33027-6312
Phone (305) 557-9004

National Provider Directory

National Provider Directory
Tax ID family
Gwa Optical LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

410 N Michigan Ave
Chicago, IL 60611
Phone (224) 225-0310

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1043868037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 400",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276312",
            "telephone_number": "305-557-9004",
            "fax_number": "855-881-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114213",
            "telephone_number": "812-321-0951",
            "fax_number": "312-321-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWA OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "VP OF VISION CLAIMS",
        "authorized_official_telephone_number": "513-292-4137"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.