NPI 1083158372

Jak Enterprises Dba Jak Optical Laboratories

Organisation Eyewear Supplier Peoria, IL

Practice location

Address: 8309 N Knoxville Ave, Peoria, IL 61615-2170
Phone: (800) 654-2833
Fax: (800) 322-1822
Mailing address: PO Box 3333, Peoria, IL 61612-3333

Authorised official

Name: Diana J Hall
Title: President
Phone: (309) 693-9540

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Illinois →

Registry record

NPI: 1083158372
Entity type: Organization
NPI issued: 6 Dec 2016
Record last updated: 6 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.