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
04/22/2025
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