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ANDRE WILLIS SR. LDO/NCLE
NPI 1003511098
Technician/Technologist - Optician in Kent, OH

Active since March 31, 2023
250 TALLMADGE RD, KENT, OH 44240(330) 673-3516(330) 673-3538 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andre Willis Sr. Ldo/ncle NPPES

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

ANDRE WILLIS SR. LDO/NCLE (NPI 1003511098) is an individual optician in Kent, Ohio, licensed in Ohio (OP.006709-SC) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1003511098
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameANDRE WILLIS SR.Credential: LDO/NCLE
Location Address250 TALLMADGE RDKent, OH 44240-7204
Mailing Address250 Tallmadge RdKent, OH 44240-7204 · (330) 673-3516 · Fax (330) 673-3538
Phone(330) 673-3516
Fax(330) 673-3538
Sole ProprietorYes
Enumeration DateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1003511098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in OH · OP.006709-SC
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
250 TALLMADGE RD, Kent, OH 44240
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Other Providers at the Same Location NPPES 8

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

YAROSLAV MITSYUK
Technician/Technologist (Optician)
250 TALLMADGE RD
KENT, OH 44240
Portage County (330) 673-3516
CORY LYNN BROWN
Pharmacist
250 TALLMADGE RD
KENT, OH 44240
Portage County (330) 673-3368
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
250 TALLMADGE RD
KENT, OH 44240
Portage County (330) 673-3368
MR. SEAN HIATT
Technician/Technologist (Optician)
250 TALLMADGE RD
KENT, OH 44240
Portage County (330) 673-3516
DAVID C HOHMAN
Pharmacist
250 TALLMADGE RD
KENT, OH 44240
Portage County (330) 673-3368
VERONICA CIACCIA
Pharmacist
250 TALLMADGE RD
KENT, OH 44240
Portage County (330) 673-3368
DR. DIANE L GIFFEN O.D.
Optometrist
250 TALLMADGE RD
KENT, OH 44240
Portage County (330) 299-9650
RENEE R CAMPBELL PHARM.D
Pharmacist
250 TALLMADGE RD
KENT, OH 44240
Portage County (330) 673-3142

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 Andre Willis's NPI number?

The NPI number for Andre Willis is 1003511098. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Andre Willis located?

Andre Willis practices at 250 Tallmadge Rd, Kent, OH 44240. The listed phone number is (330) 673-3516.

What is Andre Willis's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Andre Willis was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.