Randy Light, B.C.O., B.A.D.O.

Individual Active
NPI 1124060074
Ocularist Peoria, IL

Randy Light, B.C.O., B.A.D.O. holds NPI 1124060074, with a primary taxonomy of ocularist and a practice location in Peoria, IL. The number was issued on June 12, 2006 and the NPPES record was last updated on July 3, 2009.

This record hasn't been updated in NPPES since 2009. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Ocularist Primary 156FX1700X 203.000116 (IL)

Practice location

1318 W Candletree Dr
Suite 3
Peoria, IL 61614-8508
Phone: (309) 676-3663

Local context

Active NPPES records list 3 providers with ocularist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 10 in Illinois and 232 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Randy L Light
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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