Whalio Doctors

NPI 1003511098

Andre Willis, LDONCLE

Practitioner Optician Kent, OH

Practice location

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

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence OP.006709-SC (OH)

Registry record

NPI
1003511098
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Mar 2023
Record last updated
31 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.