Organization · Type 2 NPI

Gwa Optical LLC

Eyewear Supplier · Crystal Lake, IL

NPI number 1245888239 Active

Practice location

151 Northwest Hwy
Crystal Lake, IL 60014-7936

Fax (815) 455-1638

Mailing address

3601 SW 160th Ave Ste 400
Miramar, FL 33027-6312

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1245888239

Gwa Optical LLC's National Provider Identifier is 1245888239, issued on Sep 3, 2019. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Crystal Lake, IL. The record was last updated on Sep 9, 2019.