Organization
J A K ENTERPRISES INC
Active
Other names
BARD OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET BEER (INSURANCE MANAGER)
(309) 693-9540
Entity
Organization
Contact information
Practice address
6232 BROADWAY, QUINCY, IL 62305-6230
(217) 385-0921
(217) 577-0224
Mailing address
8309 N KNOXVILLE AVE, PEORIA, IL 61615-2170
(309) 693-9540
(309) 693-9542
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
10/30/2023
Last updated
04/15/2025
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