Bard Optical
LBN: J A K Enterprises Inc
Bard Optical is an health care organization with primary practice located at 8309 N Knoxville Ave , Peoria IL 61615-2170. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
J A K Enterprises Inc can be contacted via phone (309) 693-9540, or through Hall, Diana J via phone (309) 693-9540.
Contact Information
Primary practice address
8309 N Knoxville Ave
Peoria IL 61615-2170
Phone: (309) 693-9540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1508856923 |
|---|---|
| LBN Legal business name | J A K Enterprises Inc |
| DBA Doing business as | Bard Optical |
| Authorized official | Hall, Diana J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 17th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508856923 | NPPES |
| Illinois | Other | 7215175 | BCBS |
| Illinois | MEDICAID | 1508856923 | BCBS |
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