Randy Light, B.C.O., B.A.D.O
NPI 1124060074 · on the registry since 2006
Practice
- Address
- 1318 W Candletree Dr
Suite 3
Peoria, IL 61614 - Phone
- (309) 676-3663
- Fax
- (309) 676-0359
- Organisation at this address
- Lights Prosthetic Eyes Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Ocularist
156FX1700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois