Gwa Optical LLC
NPI #1114575198 in River Forest, Illinois
Provider Information
- NPI Number
- 1114575198
- Entity Type
- Organization
- Organization Name
- Gwa Optical LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 3, 2019
- Last Updated
- Sep 9, 2019
Practice Location
- Address
- 7251 LAKE ST
- City
- River Forest
- State
- Illinois
- ZIP Code
- 60305-2238
- Phone
- (708) 366-9960
Authorized Official
- Name
- MARIA GRIFFITH
- Title
- VP OF VISION CLAIMS
- Phone
- (513) 292-4137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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