Lights Prosthetic Eyes Inc in Peoria - Ocularist
Lights Prosthetic Eyes Inc - NPI 1972550390
Lights Prosthetic Eyes Inc is a Ocularist in Peoria, Illinois. Lights Prosthetic Eyes Inc practices all healthcare services and medical treatments related to Ocularist. The NPI Number for Lights Prosthetic Eyes Inc is 1972550390. The last update date is 2009-07-03.
Lights Prosthetic Eyes Inc'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 Lights Prosthetic Eyes Inc is 1318 W Candletree Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lights Prosthetic Eyes Inc |
|---|---|
| Address | 1318 W Candletree Dr, Peoria, Illinois |
| Phone Number | 3096763663 |
| Fax Number | 3096760359 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Light L Randy |
| Credentials | B.C.O., B. |
| Telephone Number | 3096763663 |
NPI Number Detail
| NPI Number | 1972550390 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2009-07-03 |
Provider Mailing Address Detail
| Address | 1318 W Candletree Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616148509 |
| Phone Number | 3096763663 |
| Fax Number | 3096760359 |
Provider's Primary Taxonomy Detail
| Speciality | Ocularist |
|---|---|
| Taxonomy | 156Fx1700X |
| Licence No | 203000116 |
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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 identifier code assigned to Lights Prosthetic Eyes Inc by the Centers for Medicare & Medicaid Services?
The Lights Prosthetic Eyes Inc has been issued the NPI (National Provider Identifier) 1972550390 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Lights Prosthetic Eyes Inc located?
The Lights Prosthetic Eyes Inc is located at 1318 W Candletree Dr, Peoria, IL 616148509.
What is Lights Prosthetic Eyes Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lights Prosthetic Eyes Inc's specialized field of practice is Ocularist, and the corresponding taxonomy code that categorizes this area of specialization is 156Fx1700X.
On what date did the Lights Prosthetic Eyes Inc receive its 1972550390 assignment from the Centers for Medicare & Medicaid Services?
The Lights Prosthetic Eyes Inc was assigned its 1972550390 by the Centers for Medicare & Medicaid Services on 2006-05-30.
As of what date was the information pertaining to Lights Prosthetic Eyes Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lights Prosthetic Eyes Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-07-03.