Organization · Type 2 NPI

Gwa Optical LLC

Eyewear Supplier · Glen Ellyn, IL

NPI number 1790333789 Active

Practice location

324 Roosevelt Rd
Glen Ellyn, IL 60137-5647

Call (312) 492-8559 Map

Fax (312) 492-8564

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 1790333789

Gwa Optical LLC's National Provider Identifier is 1790333789, issued on Sep 3, 2019. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Glen Ellyn, IL. The record was last updated on Sep 9, 2019.