J A K Enterprises Inc · Durable Medical Equipment & Medical Supplies

2409 N Dirksen Pkwy, Springfield, IL 62702-1404

Overview

J A K Enterprises Inc is a Durable Medical Equipment & Medical Supplies (organization) practicing in Springfield, Illinois. The National Provider Identifier (NPI) is #1548629256, which was assigned on February 23, 2016, and the registration record was last updated on April 22, 2025. The practitioner's main practice location is at 2409 N Dirksen Pkwy, Springfield, IL 62702-1404; the contact telephone number is 2176795251, and the fax number is 2176797640. The primary taxonomy of J A K Enterprises Inc is Durable Medical Equipment & Medical Supplies (332B00000X). The authorized official for J A K Enterprises Inc is Diana J. Hall (President).

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.

Provider Information

NPI 1548629256
Entity Type Organization
Organization Name J A K ENTERPRISES INC
Provider Name J A K ENTERPRISES INC
Practice Address 2409 N Dirksen Pkwy
Springfield
IL 62702-1404
Practice Telephone 2176795251
Practice Fax Number 2176797640
Mailing Address 8309 N Knoxville Ave
Peoria
IL 61615-2170
Mailing Telephone 3096939540
Mailing Fax Number 3096939754
Certification Date 2025-04-22
Enumeration Date 2016-02-23
Last Update Date 2025-04-22
Is Organization Subpart N

Authorized Official Information

Official Name DIANA J. HALL
Official Title PRESIDENT
Telephone 3096939540

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N152W00000XOptometrist193400000X MULTIPLE SINGLE SPECIALTY GROUP
N332H00000XEyewear Supplier
Y332B00000XDurable Medical Equipment & Medical Supplies

Other Provider Names

Other Organization NameType
Bard OpticalDoing Business As Name

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
J A K Enterprises Inc 3755 N Water St, Decatur, IL 62526-1858Optometrist2006-06-05
J A K Enterprises Inc 3287 Court St, Pekin, IL 61554-6208Optometrist2006-05-20
J A K Enterprises Inc 6232 Broadway, Quincy, IL 62305-6230Optometrist2023-10-30
J A K Enterprises Inc 8 Cherry Tree Shopping Ctr, Washington, IL 61571-2170Optometrist2006-06-06
J A K Enterprises Inc 7715 N Grand Prairie Dr, Peoria, IL 61615-9243Optometrist2006-06-02
J A K Enterprises Inc 4032 46th Ave, Rock Island, IL 61201-7164Optometrist2006-06-03
J A K Enterprises Inc 412 Riverside Dr, East Peoria, IL 61611-2098Optometrist2006-05-19
J A K Enterprises Inc 125 N Main St, Canton, IL 61520-2540Optometrist2006-05-22
J A K Enterprises Inc 8309 N Knoxville Ave, Peoria, IL 61615-2170Optometrist2013-03-05
J A K Enterprises Inc 3209 E Lincolnway, Sterling, IL 61081-1772Optometrist2006-05-22
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Taxonomy Information

Primary Taxonomy

Code 332B00000X
Taxonomy Durable Medical Equipment & Medical Supplies
Classification Durable Medical Equipment & Medical Supplies
Grouping Suppliers
Definition: 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.

Other Taxonomy

Code 152W00000X
Taxonomy Optometrist
Classification Optometrist
Grouping Eye and Vision Services Providers
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA's Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Other Taxonomy

Code 332H00000X
Taxonomy Eyewear Supplier
Classification Eyewear Supplier
Grouping Suppliers
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Adapthealth West, LLC 2045 Lauwiliwili St Ste 1401, Kapolei, HI 96707-3905Durable Medical Equipment & Medical Supplies2025-11-07
Adapthealth West, LLC 12000 Woodruff Ave Unit Ab, Downey, CA 90241-5600Durable Medical Equipment & Medical Supplies2025-11-07
Verio Healthcare, Inc 9150 Elkmont Dr, Elk Grove, CA 95624-9738Durable Medical Equipment & Medical Supplies2025-11-07
Sound Oxygen Service LLC 3121 Leslie Rd Ste 107, Richland, WA 99352-8754Durable Medical Equipment & Medical Supplies2025-11-07
Verio Healthcare, Inc 2020 S Lynx Ave Unit 2, Ontario, CA 91761-8062Durable Medical Equipment & Medical Supplies2025-11-07
Orthomidwest, PLLC 120 E Higgins Rd, Elk Grove Village, IL 60007-1434Durable Medical Equipment & Medical Supplies2025-11-07
Ez Durable Medical Equipment 1247a Roosevelt Ave, Carteret, NJ 07008-1538Durable Medical Equipment & Medical Supplies2025-11-07
True Mbs LLC 21 Tarbert Ct, Edison, NJ 08817-1955Durable Medical Equipment & Medical Supplies2025-11-07
Hometown Healthcare Inc 1302 Somerville Rd Se, Decatur, AL 35601-4337Durable Medical Equipment & Medical Supplies2025-11-07
Orthomidwest, PLLC 929 W Higgins Rd, Schaumburg, IL 60195-3203Durable Medical Equipment & Medical Supplies2025-11-07
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Location Information

Street Address 2409 N DIRKSEN PKWY
City SPRINGFIELD
State IL
Zip Code 62702-1404
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Mohamed Rafa Labedi 747 N Rutledge St, Springfield, IL 62702Advanced Heart Failure and Transplant Cardiology Physician2010-05-04
Anna Talley · Anna Rever 900 N 1st St, Springfield, IL 62702-3749Student in an Organized Health Care Education/Training Program2023-12-14
Jessica Christine Mitchell 900 N 1st St, Springfield, IL 62702-3749Physician Assistant2018-09-20
Vaskar Mukerji · Bhaskar Mukherjee 800 N. 1st Street, Springfield, IL 62702Cardiovascular Disease Physician2006-10-02
Claire Lupton 121 N Grand Ave W, Springfield, IL 62702-2562Optometrist2025-07-18
Springfield Clinic 1st Laboratory 800 N 1st St, 3rd Floor, Springfield, IL 62702-3719Clinical Medical Laboratory2008-05-28
Whitney Laine Musselman 1640 N 3rd St, Springfield, IL 62702-2606Occupational Therapist2012-03-19
Megan Parks Maton 800 N 1st St, Springfield, IL 62702-3719Physical Therapist2020-05-15
Walgreen Co 2140 N Peoria Rd, Springfield, IL 62702-1840Community/Retail Pharmacy2006-07-29
Victoria Grace Madonia 2140 N Peoria Rd, Springfield, IL 62702-1840Pharmacist2025-07-07
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.