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Active NPI 1003511098 Individual Practitioner Male Practitioner

Andre Willis , LDO, NCLE

Technician/Technologist - Optician • Kent, OH

Professional Overview & Biography Verified Profile Summary

Andre Willis, LDO, NCLE is a registered healthcare professional specializing in Technician/Technologist - Optician in Kent, OH. Practice services are available at 250 TALLMADGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

250 Tallmadge Rd

Kent, OH 442407204

Telephone 3306733516
Fax 3306733538
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1518040567

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Kent, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Kent, OH (751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-31
Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License OH OP.006709-SC

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Yaroslav Mitsyuk

Technician/Technologist - Optician

NPI 1316637721
Sean Hiatt

Technician/Technologist - Optician

NPI 1558065334

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 31, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2023

Registered at 250 TALLMADGE RD, KENT, OH 442407204 (Tel: 3306733516)

📍
Updated Business Mailing Address March 31, 2023

Registered at 250 TALLMADGE RD, KENT, OH 442407204 (Tel: 3306733516)

👤
Provider Name / Credentials Updated March 31, 2023

Recorded as ANDRE WILLIS, LDO/NCLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2023

Technician/Technologist (License #OP.006709-SC in OH)

🟢
Initial NPI Registration & Enumeration March 31, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003511098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2023
Last Update: March 31, 2023
Sole Proprietor: Yes

Mailing Address

250 Tallmadge Rd

Kent, OH 442407204

Phone: 3306733516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.