Jak Enterprise Inc in Peoria - Optometrist

Jak Enterprise Inc - NPI 1376581611

Jak Enterprise Inc is a Optometrist in Peoria, Illinois. Jak Enterprise Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jak Enterprise Inc is 1376581611. The last update date is 2023-03-07.

Jak Enterprise Inc's current location address is 8309 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096939540 and fax number 3096939542. The mailing address for Jak Enterprise Inc is 8309 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jak Enterprise Inc
Address 8309 N Knoxville Ave, Peoria, Illinois
Phone Number 3096939540
Fax Number 3096939542
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hall J Diana
Telephone Number 3096939540

NPI Number Detail

NPI Number 1376581611
Provider Enumeration Date 2006-06-02
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 8309 N Knoxville Ave
City Peoria
State Illinois (IL)
Post Code 616152170
Phone Number 3096939540
Fax Number 3096939542

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

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FAQs about Jak Enterprise Inc

What is the unique identifier code issued to Jak Enterprise Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Jak Enterprise Inc has been assigned the NPI (National Provider Identifier) 1376581611. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jak Enterprise Inc?

The Jak Enterprise Inc is physically situated at 8309 N Knoxville Ave, in the city of Peoria, state of IL, with the postal code 616152170.

What is the area of specialization for Jak Enterprise Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jak Enterprise Inc is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1376581611 to Jak Enterprise Inc?

The Centers for Medicare & Medicaid Services originally issued the 1376581611 to Jak Enterprise Inc on 2006-06-02.

As of what date was the information pertaining to Jak Enterprise Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jak Enterprise Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.

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