OrganizationActive
Jak Enterprises Dba Jak Optical Laboratories
NPI 1083158372 · Eyewear Supplier · Peoria, IL
Jak Enterprises Dba Jak Optical Laboratories is a Eyewear Supplier organization in Peoria, IL (NPI 1083158372).
Provider details
- NPI number
- 1083158372
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Diana Hall, President(309) 693-9540
Specialties & taxonomies
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8309 N Knoxville Ave
Peoria, IL 61615-2170
Phone: (800) 654-2833
Fax: (800) 322-1822
Street-level locationGet directions
Mailing address
Po Box 3333
Peoria, IL 61612-3333
Other names (DBA / former)
- Doing business as
- Jak Optical Laboratories
Registry dates
- Enumerated
- 2016-12-06
- Last updated
- 2016-12-06
Frequently asked questions
- What is Jak Enterprises Dba Jak Optical Laboratories's NPI number?
- Jak Enterprises Dba Jak Optical Laboratories's National Provider Identifier (NPI) is 1083158372, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jak Enterprises Dba Jak Optical Laboratories?
- Jak Enterprises Dba Jak Optical Laboratories is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Jak Enterprises Dba Jak Optical Laboratories located?
- Jak Enterprises Dba Jak Optical Laboratories's practice location on file with NPPES is 8309 N Knoxville Ave, Peoria, IL 61615-2170.
- What is Jak Enterprises Dba Jak Optical Laboratories's phone number?
- The practice phone number listed in the NPPES registry for Jak Enterprises Dba Jak Optical Laboratories is (800) 654-2833.
- Who is the authorized official for Jak Enterprises Dba Jak Optical Laboratories?
- The authorized official listed on Jak Enterprises Dba Jak Optical Laboratories's NPPES record is Diana Hall, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jak Enterprises Dba Jak Optical Laboratories's NPI active?
- Yes — Jak Enterprises Dba Jak Optical Laboratories's NPI (1083158372) is active in the NPPES registry as of the last update on 2016-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.