NPIMap

J a K Enterprises Inc

A Medicare group practice based in Peoria, IL: 24 NPIs enrolled under one PECOS associate control ID (PAC ID 3173519014), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173519014The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
23
Group size
24 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
43In 18 places

Enrollment records 23

Enrollment IDStateProvider typeNPI
O20040424000025 IL Part B Supplier - Clinic/Group Practice 1508856923
O20120419000564 IL DME Supplier - Physician - Optometrist 1255617924
O20160713002847 IL DME Supplier - Physician - Optometrist 1548629256
O20131102000221 IL DME Supplier - Physician - Optometrist 1629319330
O20250630002755 IL DME Supplier - Physician - Optometrist 1205663499
O20241120002319 IL DME Supplier - Physician - Optometrist 1851163182
O20100930082215 IL DME Supplier - Physician - Optometrist 1609815992
O20100930089107 IL DME Supplier - Physician - Optometrist 1902850043
O20100930092935 IL DME Supplier - Physician - Optometrist 1598710345
O20100930076456 IL DME Supplier - Physician - Optometrist 1528013471
O20100930076455 IL DME Supplier - Physician - Optometrist 1790723542
O20100930076457 IL DME Supplier - Physician - Optometrist 1528012218
O20100930068842 IL DME Supplier - Physician - Optometrist 1831323419
O20100930051352 IL DME Supplier - Physician - Optometrist 1164476354
O20100930058828 IL DME Supplier - Physician - Optometrist 1730134552
O20100930036879 IL DME Supplier - Physician - Optometrist 1134173321
O20100930020965 IL DME Supplier - Physician - Optometrist 1932153186
O20100930001049 IL DME Supplier - Physician - Optometrist 1033163282
O20100930001059 IL DME Supplier - Physician - Optometrist 1295774859
O20100930025992 IL DME Supplier - Physician - Optometrist 1588603138
O20100930025993 IL DME Supplier - Physician - Optometrist 1275587420
O20100930026010 IL DME Supplier - Physician - Optometrist 1124072269
O20100930030234 IL DME Supplier - Physician - Optometrist 1376581611

NPIs in this group 24

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (24).

Sources for this page