IndividualActive
Benjamin Light, OCULARIST APPRENTICE
NPI 1447294483 · Ocularist · Peoria, IL
Provider details
- NPI number
- 1447294483
- Entity type
- Individual
- Primary specialty
- OcularistEye and Vision Services Providers
- Credential
- OCULARIST APPRENTICE
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1318 W Candletree Dr
Suite 3
Peoria, IL 61614-8508
Phone: (309) 676-3663
Fax: (309) 676-0359
Approximate (ZIP-level) locationGet directions
Mailing address
1318 W Candletree Dr
Peoria, IL 61614-8508
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2008-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.