Jak Enterprises DBA Jak Optical Laboratories
NPI #1083158372 in Peoria, Illinois
Provider Information
- NPI Number
- 1083158372
- Entity Type
- Organization
- Organization Name
- Jak Enterprises DBA Jak Optical Laboratories
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 6, 2016
- Last Updated
- Dec 6, 2016
Practice Location
Authorized Official
- Name
- DIANA J HALL
- Title
- PRESIDENT
- Phone
- (309) 693-9540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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