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JAK OPTICAL LABORATORIES
NPI 1083158372
Eyewear Supplier in Peoria, IL

Active since December 06, 2016
8309 N KNOXVILLE AVE, PEORIA, IL 61615(800) 654-2833(800) 322-1822 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jak Optical Laboratories NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAK OPTICAL LABORATORIES (NPI 1083158372) is a healthcare organization registered as an eyewear supplier in Peoria, Illinois and active in the NPI registry since December 2016. The organization lists Diana J Hall, President, as its authorized official.

NPPES Registry Identity

NPI1083158372
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameJAK ENTERPRISES DBA JAK OPTICAL LABORATORIES
Location Address8309 N KNOXVILLE AVEPeoria, IL 61615-2170
Mailing AddressPo Box 3333Peoria, IL 61612-3333 · (309) 713-1762 · Fax (309) 966-0922
Phone(800) 654-2833
Fax(800) 322-1822
Organization SubpartNo
Authorized OfficialDiana J HallPresident · (309) 693-9540
Enumeration DateDecember 6, 2016
✔ NPI 1083158372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
8309 N KNOXVILLE AVE, Peoria, IL 61615
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Other Names 1

Doing Business AsJak Optical Laboratories

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA WILSHIRE OD
Optometrist
8309 N KNOXVILLE AVE, STE. 1
PEORIA, IL 61615
Peoria County (309) 713-3664
ZAHRA TAHIR OD
Optometrist
8309 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 693-9540
MRS. KELI ELIZABETH JORDAN-GARDNER OD
Optometrist
8309 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 693-9540
J A K ENTERPRISES INC
Eyewear Supplier
8309 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 693-9540
J A K ENTERPRISES INC
Durable Medical Equipment & Medical Supplies
8309 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 713-3664
DR. BARBARA E. OTT O.D.
Optometrist
8309 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 713-3664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jak Enterprises Dba Jak Optical Laboratories's NPI number?

The NPI number for Jak Enterprises Dba Jak Optical Laboratories is 1083158372. It was assigned to this organization in the NPPES registry on December 6, 2016. The provider is doing business as Jak Optical Laboratories.

Where is Jak Enterprises Dba Jak Optical Laboratories located?

Jak Enterprises Dba Jak Optical Laboratories is located at 8309 N Knoxville Ave, Peoria, IL 61615. The listed phone number is (800) 654-2833.

What is Jak Enterprises Dba Jak Optical Laboratories's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Jak Enterprises Dba Jak Optical Laboratories was last updated on December 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.