J A K Enterprises Inc is a Durable Medical Equipment & Medical Supplies (organization) practicing in Peoria, Illinois. The National Provider Identifier (NPI) is #1629319330, which was assigned on March 5, 2013, and the registration record was last updated on April 22, 2025. The practitioner's main practice location is at 8309 N Knoxville Ave, Peoria, IL 61615-2170; the contact telephone number is 3097133664, and the fax number is 3098390078. 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). J A K Enterprises Inc is licensed to practice in the state of Illinois (#046010457).
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 | 1629319330 |
| Entity Type | Organization |
| Organization Name | J A K ENTERPRISES INC |
| Provider Name | J A K ENTERPRISES INC |
| Practice Address |
8309 N Knoxville Ave Peoria IL 61615-2170 |
| Practice Telephone | 3097133664 |
| Practice Fax Number | 3098390078 |
| Mailing Address |
8309 N Knoxville Ave Peoria IL 61615-2170 |
| Mailing Telephone | 3096939540 |
| Mailing Fax Number | 3096939542 |
| Certification Date | 2025-04-22 |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2025-04-22 |
| Is Organization Subpart | N |
| Official Name | DIANA J. HALL |
| Official Title | PRESIDENT |
| Telephone | 3096939540 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | 046010457 | IL | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies |
| Other Organization Name | Type |
|---|---|
| Bard Optical | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| J A K Enterprises Inc | 3755 N Water St, Decatur, IL 62526-1858 | Optometrist | 2006-06-05 |
| J A K Enterprises Inc | 1712 W Reynolds St, Pontiac, IL 61764-9695 | Optometrist | 2011-10-26 |
| J A K Enterprises Inc | 2409 N Dirksen Pkwy, Springfield, IL 62702-1404 | Optometrist | 2016-02-23 |
| J A K Enterprises Inc | 3323 Frontage Rd, Peru, IL 61354-1101 | Optometrist | 2009-05-11 |
| J A K Enterprises Inc | 1265 N Henderson St, Galesburg, IL 61401-1510 | Optometrist | 2006-05-20 |
| J A K Enterprises Inc | 8 Cherry Tree Shopping Ctr, Washington, IL 61571-2170 | Optometrist | 2006-06-06 |
| J A K Enterprises Inc | 1700 E College Ave Ste 3, Normal, IL 61761-6184 | Optometrist | 2006-05-20 |
| J A K Enterprises Inc | 4620 N University St, Peoria, IL 61614-5889 | Optometrist | 2006-05-20 |
| J A K Enterprises Inc | 1689 W Morton Ave, Jacksonville, IL 62650-2717 | Optometrist | 2006-06-06 |
| J A K Enterprises Inc | 6232 Broadway, Quincy, IL 62305-6230 | Optometrist | 2023-10-30 |
| Find all providers with the same name | |||
| 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. |
| 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] |
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|---|---|---|---|
| Verio Healthcare, Inc | 9150 Elkmont Dr, Elk Grove, CA 95624-9738 | Durable Medical Equipment & Medical Supplies | 2025-11-07 |
| Hometown Healthcare Inc | 1302 Somerville Rd Se, Decatur, AL 35601-4337 | Durable Medical Equipment & Medical Supplies | 2025-11-07 |
| Ez Durable Medical Equipment | 1247a Roosevelt Ave, Carteret, NJ 07008-1538 | Durable Medical Equipment & Medical Supplies | 2025-11-07 |
| Publix Super Markets, Inc. | 16642 Sr 64 E, Bradenton, FL 34212 | Durable Medical Equipment & Medical Supplies | 2025-11-07 |
| Morada Medical Equipment Inc | 215 Sw 17th Ave Ste 202, Miami, FL 33135-3628 | Durable Medical Equipment & Medical Supplies | 2025-11-07 |
| Rita K Hunt Ritas House of Beauty | 221 Main St Ste D, Hurt, VA 24563-3905 | Durable Medical Equipment & Medical Supplies | 2025-11-07 |
| Sound Oxygen Service LLC | 8914 Ne Alderwood Rd, Portland, OR 97220-6802 | Durable Medical Equipment & Medical Supplies | 2025-11-07 |
| Verio Healthcare, Inc | 2020 S Lynx Ave Unit 2, Ontario, CA 91761-8062 | Durable Medical Equipment & Medical Supplies | 2025-11-07 |
| Orthomidwest, PLLC | 404 Mchenry Rd, Buffalo Grove, IL 60089-6740 | Durable Medical Equipment & Medical Supplies | 2025-11-07 |
| True Mbs LLC | 21 Tarbert Ct, Edison, NJ 08817-1955 | Durable Medical Equipment & Medical Supplies | 2025-11-07 |
| Find all providers with the same taxonomy | |||
| Street Address |
8309 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-2170 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| J A K Enterprises Inc | 8309 N Knoxville Ave, Peoria, IL 61615-2170 | Optometrist | 2005-10-26 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Peoria Spine and Sport Ltd. | 8305 N Allen Rd Ste 7, Peoria, IL 61615-1816 | Chiropractor | 2019-11-09 |
| Mariah Bradley Cooper | 2627 W Altorfer Dr Ste A, Peoria, IL 61615-1867 | Massage Therapist | 2025-07-07 |
| Neurotherapy Institute, PLLC | 8420 N Knoxville Ave, Suite C Pmb 1043, Peoria, IL 61615 | Professional Counselor | 2025-03-19 |
| Wal-Mart Stores, Inc | 8915 N Allen Rd, Peoria, IL 61615-1534 | Optician | 2006-10-24 |
| Alana Bravo | 1913 W Townline Rd, Peoria, IL 61615-1621 | Behavior Technician | 2025-11-07 |
| Alyssa Marie Smolen · Alyssa Marie Willenbring | 8600 Il-91, Suite 400, Peoria, IL 61615 | Family Nurse Practitioner | 2021-06-16 |
| Walgreen Co | 10613 N Knoxville Ave, Peoria, IL 61615-1110 | Community/Retail Pharmacy | 2012-06-06 |
| Grace Breitbach | 9901 N Knoxville Ave Ste D, Peoria, IL 61615-1433 | Physical Therapist | 2025-05-30 |
| Hailey Sellek | 8914 N Knoxville Ave, Peoria, IL 61615-1410 | Family Medicine Physician | 2021-04-13 |
| Amanda Gilmour · Amanda Neudorf | 8914 N Knoxville Ave, Peoria, IL 61615-1410 | Family Nurse Practitioner | 2016-10-24 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| K&P Enterprises | 8435 Progress Dr Ste Ff, Frederick, MD 21701-4981 | Clinic/Center | 2025-06-02 |
| Abc'Nd Enterprises LLC | 3930 Washington St, Kansas City, MO 64111-2925 | Speech-Language Pathologist | 2006-12-06 |
| Paz Enterprises | 223 Fairburn Ave Ste C, Benton, LA 71006-3518 | Chiropractor | 2025-06-24 |
| Md and J Enterprises Inc | 810 Sw 27th Ave, Miami, FL 33135-4602 | Pharmacy | 2006-09-20 |
| Blg Enterprises, Inc. | 940 Dorchester Ave, Dorchester, MA 02125-1218 | Community/Retail Pharmacy | 2006-12-07 |
| Tri Enterprises Inc | 396 Chalan San Antonio, Suite 101, Tamuning, GU 96913-3301 | Sleep Disorder Diagnostic Clinic/Center | 2006-10-19 |
| Ce Enterprises LLC | 1605 Kendale Ct, Brentwood, TN 37027-3529 | Speech-Language Pathologist | 2025-05-26 |
| Gfi Enterprises | 401 N Keene St, Columbia, MO 65201-6625 | Pharmacy | 2006-08-31 |
| F.O. & D Enterprises LLC | 8630 Boeing Dr Ste 12, El Paso, TX 79925-1256 | Home Modifications Contractor | 2025-04-17 |
| Dkm Enterprises | 2131 Hunnewell St, Honolulu, HI 96822-2180 | Rehabilitation Practitioner | 2025-05-22 |
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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 |
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. |