JAK ENTERPRISES INC (NPI# 1598710345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598710345 |
| Entity Type | Organization |
| Organization Name | JAK ENTERPRISES INC |
| Other Organization Name | BARD OPTICAL |
| Practice Address |
1477 Woodlawn Rd Lincoln IL 62656 |
| Mailing Address |
8309 N Knoxville Ave Peoria IL 61615-2170 |
| Practice Telephone | 2177351707 |
| Practice Fax Number | 2177351903 |
| Mailing Telephone | 3096939540 |
| Mailing Fax Number | 3096939542 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | DIANA J HALL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3096939540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Bard Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548629256 | Jak Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2409 N Dirksen Pkwy, Springfield, IL 62702-1404 | 2016-02-23 |
| 1588603138 | Jak Enterprises Inc | Optometrist | 8 Cherry Tree Shopping Ctr, Washington, IL 61571-2170 | 2006-06-06 |
| 1609815992 | Jak Enterprises Inc | Optometrist | 1351 Hickory Point Dr, Suite B, Forsyth, IL 62535-1085 | 2006-06-05 |
| 1730134552 | Jak Enterprises Inc | Optometrist | 907 W Marketview Dr, Suite 15, Champaign, IL 61822-1227 | 2006-05-23 |
| 1275587420 | Jak Enterprises Inc | Optometrist | 3055 W Wabash, Springfield, IL 62704-6414 | 2006-05-20 |
| 1033163282 | Jak Enterprises Inc | Optometrist | 1265 N Henderson St, Galesburg, IL 61401-1510 | 2006-05-20 |
| 1932153186 | Jak Enterprises Inc | Optometrist | 1700 E College Ave Ste 3, Normal, IL 61761-6184 | 2006-05-20 |
| 1528012218 | Jak Enterprises Inc | Optometrist | 412 Riverside Dr, East Peoria, IL 61611-2098 | 2006-05-19 |
| 1760421317 | Jak Enterprises Inc | Optometrist | 1200 W Main St, Suite 21, Peoria, IL 61606-1253 | 2006-06-06 |
| 1790723542 | Jak Enterprises Inc | Optometrist | 4032 46th Ave, Rock Island, IL 61201-7164 | 2006-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | JAK ENTERPRISES INC. | 18 Buckingham Drive, Westford, MA 01886 |
| Virginia Business Entities | JAK Enterprises Inc. | 6303 Oleander Dr Ste 104b, Wilmington, North Carolina 28403-3577 |
| Street Address |
1477 WOODLAWN RD |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
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| 1093334211 | Ez-life Medical Solutions | Durable Medical Equipment & Medical Supplies | 1101 Arapahoe St Ste 102, Lincoln, NE 68502-4400 | 2020-04-09 |
| 1326606161 | Dbm,llc | Durable Medical Equipment & Medical Supplies | 110 S Canopy St Ste A, Lincoln, NE 68508-3837 | 2019-06-05 |
| 1689231482 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3100 N 14th St Ste P, Lincoln, NE 68521-2134 | 2019-05-28 |
| 1922587427 | Lincoln Lakes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 150 W Broadway Ste 2, Lincoln, ME 04457-4003 | 2018-08-07 |
| 1770095440 | Cirrus Medical LLC | Durable Medical Equipment & Medical Supplies | 206 S 13th St Ste 775, Lincoln, NE 68508-2040 | 2017-11-02 |
| 1346781382 | Lincoln Medical Supplies | Durable Medical Equipment & Medical Supplies | 233 S 13th St Ste 1100, Lincoln, NE 68508-2003 | 2017-03-09 |
| 1730546847 | Audrey Ann Xavier | Durable Medical Equipment & Medical Supplies | 711 Sterling Pkwy, #100, Lincoln, CA 95648-7300 | 2016-01-20 |
| 1871966184 | Osie, Inc. | Durable Medical Equipment & Medical Supplies | 1221 N Cotner Blvd Ste 1, Lincoln, NE 68505-1879 | 2015-11-09 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.