Benjamin Leroy Light in Peoria - Ocularist
Benjamin Leroy Light - NPI 1447294483
Benjamin Leroy Light is a Ocularist in Peoria, Illinois. Benjamin Leroy Light practices all healthcare services and medical treatments related to Ocularist. The NPI Number for Benjamin Leroy Light is 1447294483. The last update date is 2008-05-09.
Benjamin Leroy Light's current location address is 1318 W Candletree Dr, Peoria, Illinois. You can contact this provider via phone number 3096763663 and fax number 3096760359. The mailing address for Benjamin Leroy Light is 1318 W Candletree Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Leroy Light |
|---|---|
| Address | 1318 W Candletree Dr, Peoria, Illinois |
| Phone Number | 3096763663 |
| Fax Number | 3096760359 |
| Sole Proprietor | N |
| Credentials | OCULARIST |
NPI Number Detail
| NPI Number | 1447294483 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 1318 W Candletree Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616148508 |
| Phone Number | 3096763663 |
| Fax Number | 3096760359 |
Provider's Primary Taxonomy Detail
| Speciality | Ocularist |
|---|---|
| Taxonomy | 156Fx1700X |
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Definition: An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocul |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Benjamin Leroy Light by the Centers for Medicare & Medicaid Services?
The Benjamin Leroy Light has been issued the NPI (National Provider Identifier) 1447294483, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Benjamin Leroy Light is located?
The Benjamin Leroy Light is situated at the following address: 1318 W Candletree Dr, Peoria, IL, 616148508.
What is Benjamin Leroy Light's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Benjamin Leroy Light is Ocularist, and the corresponding taxonomy classification code for this specialized field is 156Fx1700X.
On what date did the Benjamin Leroy Light receive the assignment of its 1447294483 from the Centers for Medicare & Medicaid Services?
The Benjamin Leroy Light was issued its 1447294483 by the Centers for Medicare & Medicaid Services on 2006-06-16.
As of what date were the details related to Benjamin Leroy Light most recently updated or revised?
The information pertaining to Benjamin Leroy Light, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-09.