Light, Benjamin Leroy

Light, Benjamin Leroy is an individual health care provider with primary practice located at 1318 W Candletree Dr Suite 3, Peoria IL 61614-8508. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Light, Benjamin Leroy can be contacted via phone (309) 676-3663.

Contact Information

Primary practice address
1318 W Candletree Dr Suite 3 Peoria IL 61614-8508
Phone: (309) 676-3663
Fax: (309) 676-0359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X Illinois

Profile Details

NPI number 1447294483
LBN Legal business name Light, Benjamin Leroy
Credentials OCULARIST APPRENTICE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated May 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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