Provider Type Icon

JAK ENTERPRISES INC NPI 1134173321


NPI Information

NPI: 1134173321
Provider Name: JAK ENTERPRISES INC

Doing Business As: BARD OPTICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4620 N UNIVERSITY ST
PEORIA, IL
ZIP 61614
Phone: (309) 692-8222
Get Directions

JAK ENTERPRISES INC is a durable medical equipment medical supplies in Peoria, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JAK ENTERPRISES INC NPI is 1134173321. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Bard Optical.

The provider's business location address is:

4620 N UNIVERSITY ST
PEORIA, IL
ZIP 61614-889
Phone: (309) 692-8222

The provider's authorized official is Diana J Hall .
The authorized official title is President and has the following contact phone number (309) 693-9540.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.