IndividualActive
Randy Light, B.C.O., B.A.D.O.
NPI 1124060074 · Ocularist · Peoria, IL
Provider details
- NPI number
- 1124060074
- Entity type
- Individual
- Primary specialty
- OcularistEye and Vision Services Providers
- Credential
- B.C.O., B.A.D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 203.000116 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1318 W Candletree Dr
Suite 3
Peoria, IL 61614-8508
Phone: (309) 676-3663
Fax: (309) 676-0359
Street-level locationGet directions
Mailing address
1318 W Candletree Dr
Peoria, IL 61614-8508
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2009-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.