Organization
GWA OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GRIFFITH (V.P. OF VISION CLAIMS)
(513) 292-4137
Entity
Organization
Contact information
Practice address
410 N MICHIGAN AVE, CHICAGO, IL 60611-4213
(305) 557-9004
(855) 881-9434
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(305) 557-9004
(855) 881-9434
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
09/08/2022
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