J A K Enterprises Inc in Peoria - Eyewear Supplier

J A K Enterprises Inc - NPI 1508856923

J A K Enterprises Inc is a Eyewear Supplier in Peoria, Illinois. J A K Enterprises Inc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for J A K Enterprises Inc is 1508856923. The last update date is 2023-03-07.

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

Provider Profile Detail

Provider Organization J A K Enterprises Inc
Address 8309 N Knoxville Ave, Peoria, Illinois
Phone Number 3096939540
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1508856923
Provider Enumeration Date 2005-10-26
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

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7215175 IL BCBS
1508856923 IL --

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FAQs about J A K Enterprises Inc

What is the J A K Enterprises Inc's unique identification number?

The J A K Enterprises Inc has been assigned the NPI (National Provider Identifier) Number 1508856923 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the J A K Enterprises Inc located?

The J A K Enterprises Inc is located at 8309 N Knoxville Ave, Peoria, IL 616152170.

What is J A K 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 J A K Enterprises Inc is Eyewear Supplier, and the corresponding taxonomy classification code for this specialized field is 332H00000X.

When did the J A K Enterprises Inc receive its 1508856923?

The J A K Enterprises Inc was issued its 1508856923 on 2005-10-26, which is the date when the organization was assigned this unique identifier.

When was the information regarding J A K Enterprises Inc most recently updated?

The details pertaining to the J A K Enterprises Inc, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.

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