Organization
GWA OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GRIFFIN (MANAGER)
(305) 557-9004
Entity
Organization
Contact information
Practice address
15 GRANT SQ, HINSDALE, IL 60521-3360
(305) 557-9007
(855) 811-9434
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
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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