Andre Willis Sr., LDO/NCLE

Optician · Kent, OH

Individual Active NPI

NPI number 1003511098

Practice location

250 Tallmadge Rd
Kent, OH 44240-7204
Phone
(330) 673-3516
Fax
(330) 673-3538

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NPI record

NPI
1003511098
Entity type
Individual (Type 1)
Enumeration date
March 31, 2023
Last updated
March 31, 2023
Certified
March 31, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X OP.006709-SC OH

About Andre Willis

Andre Willis Sr., LDO/NCLE is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 250 Tallmadge Rd, Kent, OH 44240-7204. The NPI number 1003511098 was assigned on March 31, 2023 and the record was last updated on March 31, 2023.

Andre Willis lists a license in the registry: #OP.006709-SC (OH) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Andre Willis Sr., LDO/NCLE?

The NPI number is 1003511098.

What is the phone number of Andre Willis?

The phone number listed for the practice location is (330) 673-3516.

Where is Andre Willis located?

250 Tallmadge Rd, Kent, OH 44240-7204.

What is the taxonomy code for Andre Willis?

The primary taxonomy code is 156FX1800X – Optician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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