Organization
LIGHTS PROSTHETIC EYES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY L LIGHT BCO (PRESIDENT)
(309) 676-3663
Entity
Organization
Contact information
Practice address
1736 E SUNSHINE ST, SUITE 404, SPRINGFIELD, MO 65804-1343
(417) 889-0988
Mailing address
1318 W CANDLETREE DR, SUITE 3, PEORIA, IL 61614-8508
(309) 676-3663
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
17065569
MO
Other
Enumeration date
07/03/2008
Last updated
07/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up