JAK ENTERPRISES INC (NPI# 1730134552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730134552 |
| Entity Type | Organization |
| Organization Name | JAK ENTERPRISES INC |
| Other Organization Name | BARD OPTICAL |
| Practice Address |
907 W Marketview Dr Suite 15 Champaign IL 61822-1227 |
| Mailing Address |
8309 N Knoxville Ave Peoria IL 61615-2170 |
| Practice Telephone | 2173518822 |
| Practice Fax Number | 2173518879 |
| Mailing Telephone | 3096939540 |
| Mailing Fax Number | 3096939542 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-06-05 |
| Authorized Official Name | DIANA J HALL (PRESIDENT) |
| 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 |
| 1598710345 | Jak Enterprises Inc | Optometrist | 1477 Woodlawn Rd, Lincoln, IL 62656 | 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 |
907 W MARKETVIEW DR SUITE 15 |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699087361 | Danielle M Keith | Optometrist | 907 W Marketview Dr, 15, Champaign, IL 61822-1227 | 2010-07-09 |
| 1386773802 | Vinh Hick | Dentist | 907 W Marketview Dr, Unit 11, Champaign, IL 61822-1227 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619213097 | Independence Holding Co LLC | Durable Medical Equipment & Medical Supplies | 14 E Washington St Ste C, Champaign, IL 61820-3677 | 2012-12-12 |
| 1235404245 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1801 W Windsor Rd Ste 101, Champaign, IL 61822 | 2012-03-09 |
| 1558636555 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 101 W University Ave Ste 102, Champaign, IL 61820-3909 | 2012-03-09 |
| 1568754695 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1701 Curtis Rd Ste 1024, Champaign, IL 61822 | 2011-05-09 |
| 1750670808 | Evelyn Marie Moore O.d., P.C. | Durable Medical Equipment & Medical Supplies | 501 S Mattis Ave, Suite B, Champaign, IL 61821-4274 | 2011-03-29 |
| 1912231036 | Mobility Center of Chicago | Durable Medical Equipment & Medical Supplies | 706 Bloomington Rd, Champaign, IL 61820-2563 | 2009-09-22 |
| 1992957633 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 1701 E Curtis Rd, Champaign, IL 61822-9678 | 2008-10-14 |
| 1023167624 | Confidentially Yours, Inc | Durable Medical Equipment & Medical Supplies | 1808 Round Barn Rd Ste B, Champaign, IL 61821-6817 | 2007-01-10 |
| 1982782249 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 602 S Staley Rd, Ste A, Champaign, IL 61822-9674 | 2006-11-02 |
| 1669487773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2402 Village Green Pl, Champaign, IL 61822-7681 | 2006-07-29 |
| Find all providers in CHAMPAIGN | ||||
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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.