Jak Enterprises Inc in Peoria - Optometrist
Jak Enterprises Inc - NPI 1164476354
Jak Enterprises Inc is a Optometrist in Peoria, Illinois. Jak Enterprises Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jak Enterprises Inc is 1164476354. The last update date is 2023-03-07.
Jak Enterprises 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 Enterprises Inc is 8309 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jak Enterprises Inc |
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Address | 8309 N Knoxville Ave, Peoria, Illinois |
Phone Number | 3096939540 |
Fax Number | 3096939542 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Hall J Diana |
Telephone Number | 3096939540 |
NPI Number Detail
NPI Number | 1164476354 |
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Provider Enumeration Date | 2006-05-20 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 8309 N Knoxville Ave |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616152170 |
Phone Number | 3096939540 |
Fax Number | 3096939542 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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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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What is the Jak Enterprises Inc's unique identification number?
The Jak Enterprises Inc has been assigned the NPI (National Provider Identifier) Number 1164476354 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jak Enterprises Inc?
The Jak Enterprises Inc is situated at 8309 N Knoxville Ave, in the city of Peoria, state of IL, with the zip code 616152170.
What is Jak Enterprises Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jak Enterprises Inc is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did Jak Enterprises Inc receive its 1164476354 assignment from the Centers for Medicare & Medicaid Services?
The Jak Enterprises Inc was assigned its 1164476354 on 2006-05-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jak Enterprises Inc's information last updated?
The Jak Enterprises Inc's information was last updated on 2023-03-07.