Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDRE WILLIS SR., LDO/NCLE
Active Sole ProprietorANDRE WILLIS SR., LDO/NCLE is a Optician, Dispensing healthcare provider located in KENT, Ohio. NPI 1003511098 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · KENT, OH
Registration Details
- NPI Number
- 1003511098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2023 (3.4160512167165 yrs)
- Last Updated
- Mar 31, 2023
- License
-
OP.006709-SC (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
250 TALLMADGE RDKENT, OH, 442407204Browse OH providers · Browse ZIP 44240
- Phone
- 3306733516
- Fax
- 3306733538
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in KENT, OH
| Name | Credential | NPI |
|---|---|---|
| MR. SEAN HIATT | — | 1558065334 |
| YAROSLAV MITSYUK | — | 1316637721 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.