Andre Willis, LDO/NCLE
NPI 1003511098 · on the registry since 2023 · sole proprietor
Practice
- Address
- 250 Tallmadge Rd
Kent, OH 44240 - Phone
- (330) 673-3516
- Fax
- (330) 673-3538
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio