Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY L LIGHT, B.C.O., B.A.D.O.
ActiveOcularist · PEORIA, IL
Registration Details
- NPI Number
- 1124060074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (19.861793113671 yrs)
- Last Updated
- Jul 3, 2009
- License
-
203.000116 (IL)
Practice Information
- Address
-
1318 W CANDLETREE DRSUITE 3PEORIA, IL, 616148508Browse IL providers · Browse ZIP 61614
- Phone
- 3096763663
- Fax
- 3096760359
- Primary Specialty
-
Ocularist
156FX1700X
Other Ocularist Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| BENJAMIN LEROY LIGHT | OCULARIST APPRENTICE | 1447294483 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.