Organization
J A K ENTERPRISES INC
Active
Other names
BARD OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA J. HALL (OWNER)
(309) 693-9540
Entity
Organization
Contact information
Practice address
17A LITCHFIELD PLAZA, LITCHFIELD, IL 62056-1050
(217) 385-0922
Mailing address
8309 N KNOXVILLE AVE, PEORIA, IL 61615-2170
(309) 693-9540
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
09/19/2024
Last updated
06/02/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up