J A K Enterprises Inc - Medicare in Peoria, IL

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J A K Enterprises Inc is a medicare enrolled "Eyewear Supplier" provider in Peoria, Illinois. Their current practice location is 8309 N Knoxville Ave, Peoria, Illinois. You can reach out to their office (for appointments etc.) via phone at (309) 693-9540.

J A K Enterprises Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. J A K Enterprises Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1508856923.

Contact Information

J A K Enterprises Inc
8309 N Knoxville Ave,
Peoria, IL 61615-2170
(309) 693-9540
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJ A K Enterprises Inc
TypeFacility
SpecialityEyewear Supplier
Location8309 N Knoxville Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508856923
  • Provider Enumeration Date: 10/26/2005
  • Last Update Date: 04/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3173519014
  • Enrollment ID: O20040424000025

Medical Identifiers

Medical identifiers for J A K Enterprises Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508856923NPI-NPPES
7215175OtherILBCBS
1508856923MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
332H00000XEyewear Supplier (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. J A K Enterprises Inc acts as a billing entity for following providers:
Provider NameSandra R Pelfrey-jones
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770589244
PECOS PAC ID: 9739176074
Enrollment ID: I20040428000760
Provider NameKenneth A Schaidle
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639166226
PECOS PAC ID: 0244228914
Enrollment ID: I20040503000538
Provider NameMark D Hahn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1528055969
PECOS PAC ID: 6305834979
Enrollment ID: I20040503001285
Provider NameRobert P Edwards
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396753059
PECOS PAC ID: 4688662000
Enrollment ID: I20040504001374
Provider NameLinda L Mahaffey
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629004767
PECOS PAC ID: 6608866702
Enrollment ID: I20040512000984
Provider NameJoseph B Jackson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1649352691
PECOS PAC ID: 4486621315
Enrollment ID: I20040910001174
Provider NameMarc C Sarmiento
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1932116449
PECOS PAC ID: 9335101245
Enrollment ID: I20041103000154
Provider NameDavid R Morgret
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1922109172
PECOS PAC ID: 5395785471
Enrollment ID: I20050509000235
Provider NameStacy A Twenhafel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407901051
PECOS PAC ID: 2466493390
Enrollment ID: I20050520000098
Provider NameJohn J Rimkus
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1346347044
PECOS PAC ID: 6406744457
Enrollment ID: I20070103000171
Provider NameBrian D Henson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184782112
PECOS PAC ID: 8325145683
Enrollment ID: I20070521000528
Provider NameDeborah S Jones
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043373871
PECOS PAC ID: 2961509914
Enrollment ID: I20070525000426
Provider NameSabrina M Shultz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316086580
PECOS PAC ID: 5193826147
Enrollment ID: I20070720000747
Provider NameKeli E Jordan Gardner
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457374811
PECOS PAC ID: 3375678162
Enrollment ID: I20100318000433
Provider NameSteven H Lane
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1952427262
PECOS PAC ID: 5698840866
Enrollment ID: I20110121000759
Provider NameRhonda Dameron
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1306952072
PECOS PAC ID: 6103038260
Enrollment ID: I20110214000422
Provider NameNicole M Jensen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790072924
PECOS PAC ID: 8123298718
Enrollment ID: I20110909002793
Provider NameDinita Cooley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1831486901
PECOS PAC ID: 9739337387
Enrollment ID: I20120924000622
Provider NameYolanda Arce Montijo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063491553
PECOS PAC ID: 2961423520
Enrollment ID: I20140306000478
Provider NameKaitlin Renae Griffith
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1760894935
PECOS PAC ID: 2961628581
Enrollment ID: I20140716002589
Provider NameMolly M Guithues
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023480316
PECOS PAC ID: 3274843974
Enrollment ID: I20151110000140
Provider NameSharna Annise Wiltz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407019946
PECOS PAC ID: 3072877711
Enrollment ID: I20180507000086
Provider NameTesia Reed
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104388800
PECOS PAC ID: 4981023124
Enrollment ID: I20201007002125
Provider NameShweta R Harvi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033781562
PECOS PAC ID: 4880099860
Enrollment ID: I20210830001769
Provider NameZahra Tahir
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396411195
PECOS PAC ID: 3971901703
Enrollment ID: I20211008002055

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. J A K Enterprises Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
J A K Enterprises Inc
8309 N Knoxville Ave,
Peoria, IL 61615-2170

Ph: (309) 693-9540		J A K Enterprises Inc
8309 N Knoxville Ave,
Peoria, IL 61615-2170

Ph: (309) 693-9540

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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