Individual
DR. ANDREA D WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1931 BROWN ST, ANDERSON, IN 46016-4206
(765) 644-1225
(765) 644-1447
Mailing address
1931 BROWN ST, ANDERSON, IN 46016-4206
(765) 644-1225
(764) 644-1447
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002919
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200503250
—
IN
Enumeration date
02/17/2006
Last updated
04/10/2012
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