Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jak Enterprises Dba Jak Optical Laboratories

Organization Eyewear Supplier · NPI 1083158372

Jak Enterprises Dba Jak Optical Laboratories is an Eyewear Supplier in Peoria, Illinois. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

8309 N Knoxville Ave
Peoria, IL 61615-2170
Phone: (800) 654-2833
Fax: (800) 322-1822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1083158372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Hall — President · (309) 693-9540
Other names Jak Optical Laboratories
NPI enumeratedDecember 6, 2016
Last updated in NPPESDecember 6, 2016
Mailing addressPo Box 3333, Peoria, IL 61612-3333

Other providers in Peoria