Organization
JAK ENTERPRISES DBA JAK OPTICAL LABORATORIES
Active
Other names
JAK Optical Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA J HALL (PRESIDENT)
(309) 693-9540
Entity
Organization
Contact information
Practice address
8309 N KNOXVILLE AVE, PEORIA, IL 61615-2170
(800) 654-2833
(800) 322-1822
Mailing address
PO BOX 3333, PEORIA, IL 61612-3333
(309) 713-1762
(309) 966-0922
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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