Benjamin Leroy Light, OCULARIST APPRENTICE

NPI #1447294483 in Peoria, Illinois

Provider Information

NPI Number
1447294483
Entity Type
Individual
Name
Benjamin Leroy Light, OCULARIST APPRENTICE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Ocularist
Credential
OCULARIST APPRENTICE
Enumeration Date
Jun 16, 2006
Last Updated
May 9, 2008

Practice Location

Address
1318 W CANDLETREE DR
Address 2
SUITE 3
City
Peoria
ZIP Code
61614-8508
Phone
(309) 676-3663

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OcularistOcularist

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