Randy L. Light, B.C.O., B.A.D.O.
Ocularist · Peoria, IL
Practice location
1318 W Candletree DrSuite 3
Peoria, IL 61614-8508
- Phone
- (309) 676-3663
- Fax
- (309) 676-0359
NPI record
- NPI
- 1124060074
- Entity type
- Individual (Type 1)
- Enumeration date
- June 12, 2006
- Last updated
- July 3, 2009
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ocularist Primary | 156FX1700X |
203.000116 | IL |
About Randy Light
Randy L. Light, B.C.O., B.A.D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Ocularist (code 156FX1700X). The practice location is 1318 W Candletree Dr, Suite 3, Peoria, IL 61614-8508. The NPI number 1124060074 was assigned on June 12, 2006 and the record was last updated on July 3, 2009.
Randy Light lists a license in the registry: #203.000116 (IL) for Ocularist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Randy L. Light, B.C.O., B.A.D.O.?
The NPI number is 1124060074.
What is the phone number of Randy Light?
The phone number listed for the practice location is (309) 676-3663.
Where is Randy Light located?
1318 W Candletree Dr, Suite 3, Peoria, IL 61614-8508.
What is the taxonomy code for Randy Light?
The primary taxonomy code is 156FX1700X – Ocularist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Ocularist providers in Peoria
- Benjamin Leroy Light, OCULARIST APPRENTICE1318 W Candletree Dr
- Lights Prosthetic Eyes Inc1318 W Candletree Dr