| NPI | 1083158372 |
|---|---|
| Doing Business As | JAK OPTICAL LABORATORIES |
| Entity Type | Organization |
| Authorized Contact | DIANA J HALL President 309-693-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |