person
Mr. Randy L Light, BCO,BADO
Ocularist in Peoria, Illinois
NPI 1124060074

Randy L Light is a Ocularist based in Peoria, IL and is specialized in Ocularist. Randy L Light practices in Peoria, IL and has the professional credentials of BCO,BADO. The NPI Number for Randy L Light is 1124060074 and holds a License No. 203.000116 (Illinois).

The current practice location address for Randy L Light is 1318 W Candletree Dr, Peoria, IL and can be reached out via phone at 309-676-3663 and via fax at 309-676-0359.

Location: 1318 W Candletree Dr, Peoria, IL, 61614-8508
person
Provider Profile Details
NPI Number
1124060074
Provider Name
Randy L Light
Credential
BCO,BADO
Provider Entity Type
Individual
Gender
Male
Address
1318 W Candletree Dr, Peoria, IL, 61614-8508
Phone Number
309-676-3663
Fax Number
309-676-0359
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1318 W Candletree Dr
City
State
Zip
61614-8508
Phone Number
309-676-3663
Fax Number
309-676-0359
person
Provider Business Mailing Address Details
Address
1318 W Candletree Dr
City
State
Zip
61614-8508
Phone Number
309-676-3663
Fax Number
309-676-0359
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
License No.
203.000116 (Illinois)
Definition
Definition to come...
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