person
Benjamin Leroy Light, OCULARISTAPPRENTICE
Ocularist in Peoria, Illinois
NPI 1447294483

Benjamin Leroy Light is a Ocularist based in Peoria, IL and is specialized in Ocularist. Benjamin Leroy Light practices in Peoria, IL and has the professional credentials of OCULARISTAPPRENTICE. The NPI Number for Benjamin Leroy Light is 1447294483 and holds a License No. (Illinois).

The current practice location address for Benjamin Leroy 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
1447294483
Provider Name
Benjamin Leroy Light
Credential
OCULARISTAPPRENTICE
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
06/16/2006
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.
(Illinois)
Definition
Definition to come...
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