Lights Prosthetic Eyes INC

NPI #1487817193 in Springfield, Missouri

Provider Information

NPI Number
1487817193
Entity Type
Organization
Organization Name
Lights Prosthetic Eyes INC
Primary Specialty
Technician/Technologist - Ocularist
Enumeration Date
Jul 3, 2008
Last Updated
Jul 9, 2008

Practice Location

Address
1736 E SUNSHINE ST
Address 2
SUITE 404
ZIP Code
65804-1343
Phone
(417) 889-0988

Authorized Official

Name
MR. RANDY L LIGHT, BCO
Title
PRESIDENT
Phone
(309) 676-3663

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OcularistOcularist

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