LIGHTS PROSTHETIC EYES INC (NPI# 1487817193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487817193 |
| Entity Type | Organization |
| Organization Name | LIGHTS PROSTHETIC EYES INC |
| Practice Address |
1736 E Sunshine St Suite 404 Springfield MO 65804-1343 |
| Mailing Address |
1318 W Candletree Dr Suite 3 Peoria IL 61614-8508 |
| Practice Telephone | 4178890988 |
| Mailing Telephone | 3096763663 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | MR. RANDY L LIGHT (PRESIDENT) |
| Authorized Official Telephone | 3096763663 |
| Authorized Official Credential | BCO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
17065569 | MO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972550390 | Lights Prosthetic Eyes Inc | Technician/Technologist | 1318 W Candletree Dr, Ste 3, Peoria, IL 61614-8509 | 2006-05-30 |
| Street Address |
1736 E SUNSHINE ST SUITE 404 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613119 | Karlovich & Associates, Inc. | Case Management | 1736 E Sunshine St, Suite 815, Springfield, MO 65804-1343 | 2005-10-21 |
| 1922500735 | Lillian M Davis | Counselor | 1736 E Sunshine St, Springfield, MO 65804-1343 | 2018-03-07 |
| 1255881801 | Robert Elias Johnson | Counselor | 1736 E Sunshine St, Suite 307, Springfield, MO 65804-1343 | 2016-10-06 |
| 1285026658 | Julia M Nickle Counseling Services LLC | Counselor | 1736 E Sunshine St, Ste 308, Springfield, MO 65804-1343 | 2015-02-23 |
| 1861832206 | Victoria Lynn Karlovich | Case Manager/Care Coordinator | 1736 E Sunshine St, Suite 713, Springfield, MO 65804-1343 | 2013-06-30 |
| 1689978009 | Wendy Jo Ryerson | Counselor | 1736 E Sunshine St, Ste. 719, Springfield, MO 65804-1343 | 2010-12-28 |
| 1578899142 | Insight Counseling Associates, LLC | Community/Behavioral Health | 1736 E Sunshine St, Suite 401, Springfield, MO 65804-1343 | 2009-11-02 |
| 1962635060 | Daniel William Ellis | Counselor | 1736 E Sunshine St, Plaza Towers Suite 811, Springfield, MO 65804-1343 | 2009-08-24 |
| 1952433625 | Frank Edward Bartlett | Psychologist | 1736 E Sunshine St, Suite 811, Springfield, MO 65804-1343 | 2007-03-09 |
| 1326177023 | Gary Edward Wilson | Psychologist | 1736 E Sunshine St, Suite 502, Springfield, MO 65804-1343 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023175882 | Wray Cook | Technician/Technologist | 2821 N Ballas Rd Ste C30, Saint Louis, MO 63131-2393 | 2007-01-02 |
| 1891294948 | Corinne Laura Lige | Technician/Technologist | 2821 N Ballas Rd Ste C30, Saint Louis, MO 63131-2393 | 2018-02-05 |
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on LIGHTS PROSTHETIC EYES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.