Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN LEROY LIGHT, OCULARIST APPRENTICE

Active

Ocularist · PEORIA, IL

Registration Details

NPI Number: 1447294483
Provider Type: Individual
Gender: Male
NPI Issued: Jun 16, 2006 (19.850841525486 yrs)
Last Updated: May 9, 2008

Practice Information

Address: 1318 W CANDLETREE DR

SUITE 3

PEORIA, IL, 616148508
Browse IL providers · Browse ZIP 61614
Phone: 3096763663
Fax: 3096760359
Primary Specialty: Ocularist
156FX1700X

Other Ocularist Providers in PEORIA, IL

Name	Credential	NPI
MR. RANDY L LIGHT	B.C.O., B.A.D.O.	1124060074

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.