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Andre Willis, LDO/NCLE
NPI 1003511098 · Optician · Kent, OH
Andre Willis, LDO/NCLE is a Optician provider in Kent, OH (NPI 1003511098).
Provider details
- NPI number
- 1003511098
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO/NCLE
- Sex
- Male
- Sole proprietor
- Yes
- License
- OP.006709-SC (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 Tallmadge Rd
Kent, OH 44240-7204
Phone: (330) 673-3516
Fax: (330) 673-3538
Street-level locationGet directions
Mailing address
250 Tallmadge Rd
Kent, OH 44240-7204
Registry dates
- Enumerated
- 2023-03-31
- Last updated
- 2023-03-31
- Certified
- 2023-03-31
Frequently asked questions
- What is Andre Willis's NPI number?
- Andre Willis's National Provider Identifier (NPI) is 1003511098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andre Willis's specialty?
- Andre Willis is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Andre Willis located?
- Andre Willis's practice location on file with NPPES is 250 Tallmadge Rd, Kent, OH 44240-7204.
- What is Andre Willis's phone number?
- The practice phone number listed in the NPPES registry for Andre Willis is (330) 673-3516.
- Is Andre Willis's NPI active?
- Yes — Andre Willis's NPI (1003511098) is active in the NPPES registry as of the last update on 2023-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.