Jak Enterprises Inc in Peoria - Optometrist
Jak Enterprises Inc - NPI 1760421317
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 1760421317. 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 3096939754. 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 |
|---|---|
| Address | 8309 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096939540 |
| Fax Number | 3096939754 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hall J Diana |
| Telephone Number | 3096939540 |
NPI Number Detail
| NPI Number | 1760421317 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| 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 | 3096939754 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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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 unique identifier code issued to Jak Enterprises Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Jak Enterprises Inc has been assigned the NPI (National Provider Identifier) 1760421317. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jak Enterprises Inc's physical address?
The Jak Enterprises Inc is physically located at 8309 N Knoxville Ave, in the city of Peoria, IL, with the postal code 616152170.
What is Jak Enterprises Inc's area of expertise and its corresponding taxonomy classification?
The Jak Enterprises Inc's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Jak Enterprises Inc receive its 1760421317 assignment from the Centers for Medicare & Medicaid Services?
The Jak Enterprises Inc was assigned its 1760421317 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jak Enterprises Inc's details last updated?
The information pertaining to the Jak Enterprises Inc, including its address, specialty, and other details, was most recently updated on 2023-03-07.