Individual provider · Type 1 NPI
Randy L. Light, B.C.O., B.A.D.O.
Ocularist · Peoria, IL
NPI number
1124060074
Active
Practice location
1318 W Candletree Dr, Suite 3
Peoria, IL 61614-8508
Fax (309) 676-0359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ocularist Primary | 156FX1700X | 203.000116 (IL) |
Ocularist: An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.
4 other providers at this address
- Lights Prosthetic Eyes IncOcularist Peoria, IL NPI 1972550390
- Benjamin Leroy Light, OCULARIST APPRENTICEOcularist Peoria, IL NPI 1447294483
- Brian R. Degise, DDS, PCOrthodontics and Dentofacial Orthopedics Dentistry Peoria, IL NPI 1083708648
- James Lynn Davis, DMDGeneral Practice Dentistry Peoria, IL NPI 1952475378
Other ocularist providers in Peoria
About NPI 1124060074
Randy L. Light, B.C.O., B.A.D.O.'s National Provider Identifier is 1124060074, issued on Jun 12, 2006. The primary taxonomy on file is Ocularist (156FX1700X), and the practice location is in Peoria, IL. The record was last updated on Jul 3, 2009.