MR. RANDY L LIGHT B.C.O., B.A.D.O.
NPI 1124060074
Technician/Technologist - Ocularist in Peoria, IL
NPI Status: Active since June 12, 2006
Contact Information
1318 W CANDLETREE DR
SUITE 3
PEORIA, IL
ZIP 61614
Phone: (309) 676-3663
Fax: (309) 676-0359
- Individual
- Male
- Technician/Technologist
- Ocularist
About RANDY LIGHT
This page provides the complete NPI Profile along with additional information for Randy Light, a provider established in Peoria, Illinois with a medical specialization in Technician/technologist, focusing in ocularist . The healthcare provider is registered in the NPI registry with number 1124060074 assigned on June 2006. The practitioner's primary taxonomy code is 156FX1700X with license number 203.000116 (IL). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1124060074
- Provider Name
- MR. RANDY L LIGHT B.C.O., B.A.D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1318 W CANDLETREE DR SUITE 3 PEORIA, IL 61614
- Location Phone
- (309) 676-3663
- Location Fax
- (309) 676-0359
- Mailing Address
- 1318 W CANDLETREE DR SUITE 3 PEORIA, IL 61614
- Mailing Phone
- (309) 676-3663
- Mailing Fax
- (309) 676-0359
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-12-2006
- Last Update Date
- 07-03-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician/Technologist Ocularist
- Taxonomy Code
- 156FX1700X
- Type
- Eye and Vision Services Providers
- License No.
- 203.000116
- License State
- IL
- Taxonomy Description
- An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1268070002 | MEDICARE ID-TYPE UNSPECIFIED (04) | MO | |
| 1268070001 | MEDICARE NSC (07) | AR | |
| 1268070002 | MEDICARE NSC (07) | MO | |
| 1268070001 | MEDICARE NSC (07) | IL |
Reviews for MR. RANDY L LIGHT B.C.O., B.A.D.O.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124060074, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124060074, enumerated as an "individual" on June 12, 2006.
The provider is located at 1318 W CANDLETREE DR SUITE 3 PEORIA, IL 61614 and the phone number is (309) 676-3663.
Technician/Technologist with taxonomy code 156FX1700X and a focus in Ocularist.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
