Benjamin Leroy Light, OCULARISTAPPRENTICE
Benjamin Leroy Light, OCULARISTAPPRENTICE is an Ocularist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
1318 W Candletree Dr Ste 3Peoria, IL 61614-8508
Phone: (309) 676-3663
Fax: (309) 676-0359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ocularist (primary) | Taxonomy 156FX1700X (IL) |
|---|
Record details
| NPI number | 1447294483 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OCULARISTAPPRENTICE |
| Sole proprietor | No |
| NPI enumerated | June 16, 2006 |
| Last updated in NPPES | May 9, 2008 |
| Mailing address | 1318 W Candletree Dr, Suite 3, Peoria, IL 61614-8508 |
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Mr. Randy L Light, BCO, BADO
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