1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Technician Technologist
  6. NPI Profile

LIGHTS PROSTHETIC EYES INC
NPI 1972550390
Technician/Technologist - Ocularist in Peoria, IL

Active since May 30, 2006
1318 W CANDLETREE DR, STE 3, PEORIA, IL 61614(309) 676-3663(309) 676-0359 Get Directions Write a Review

NPPES record last updated: July 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lights Prosthetic Eyes Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTS PROSTHETIC EYES INC (NPI 1972550390) is a healthcare organization registered as an ocularist in Peoria, Illinois and active in the NPI registry since May 2006. The organization lists Randy L Light, President, as its authorized official.

NPPES Registry Identity

NPI1972550390
Entity TypeOrganization
Primary Taxonomy156FX1700X
Legal Business NameLIGHTS PROSTHETIC EYES INC
Location Address1318 W CANDLETREE DR, STE 3Peoria, IL 61614-8509
Mailing Address1318 W Candletree Dr, Ste 3Peoria, IL 61614-8509 · (309) 676-3663 · Fax (309) 676-0359
Phone(309) 676-3663
Fax(309) 676-0359
Organization SubpartNo
Authorized OfficialRandy L LightPresident · (309) 676-3663
Enumeration DateMay 30, 2006
Last NPPES UpdateJuly 3, 2009
✔ NPI 1972550390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OcularistEye and Vision Services Providers
Taxonomy Code156FX1700X
License✔ Licensed in IL · 203000116
Definition
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.
1318 W CANDLETREE DR, Peoria, IL 61614
Open in Google Maps ↗

Other Identifiers 4

Medicare NSC1268070001IL
Medicare PIN1268070001IL
Medicare PIN1268070001AR
Medicare NSC1268070001AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Lights Prosthetic Eyes Inc carries, from the Medicare DMEPOS supplier directory.

Lights Prosthetic Eyes Inc

DMEPOS supplier · Peoria, IL
⋮

Does not accept Medicare assignment

Lights Prosthetic Eyes Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20427365
Medicare Participant SinceJanuary 1, 2019
Supplier Location1318 W Candletree Dr Ste 3Peoria, IL 61614
Phone(309) 676-3663
Provider TypeOcularists

Medicare Product Categories

Ocular Prostheses
Prosthetic eyes
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN R DEGISE DDS, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
1318 W CANDLETREE DR
PEORIA, IL 61614
Peoria County (309) 691-9171
MR. RANDY L LIGHT B.C.O., B.A.D.O.
Technician/Technologist (Ocularist)
1318 W CANDLETREE DR, SUITE 3
PEORIA, IL 61614
Peoria County (309) 676-3663
BENJAMIN LEROY LIGHT OCULARIST APPRENTICE
Technician/Technologist (Ocularist)
1318 W CANDLETREE DR, SUITE 3
PEORIA, IL 61614
Peoria County (309) 676-3663
DR. JAMES LYNN DAVIS D.M.D.
Dentist (General Practice)
1318 W CANDLETREE DR, SUITE 2
PEORIA, IL 61614
Peoria County (309) 692-6206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lights Prosthetic Eyes Inc's NPI number?

The NPI number for Lights Prosthetic Eyes Inc is 1972550390. It was assigned to this organization in the NPPES registry on May 30, 2006.

Where is Lights Prosthetic Eyes Inc located?

Lights Prosthetic Eyes Inc is located at 1318 W Candletree Dr Ste 3, Peoria, IL 61614. The listed phone number is (309) 676-3663.

What is Lights Prosthetic Eyes Inc's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ocularist, with taxonomy code 156FX1700X.

Does Lights Prosthetic Eyes Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Lights Prosthetic Eyes Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Lights Prosthetic Eyes Inc was last updated on July 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.