Andrea D Wills, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002919 Issued in IN

Practice address

1931 Brown St
Anderson, IN 46016-4206

Phone

(765) 644-1225

Fax

(765) 644-1447

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1942275656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 BROWN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164206",
            "telephone_number": "765-644-1225",
            "fax_number": "764-644-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 BROWN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164206",
            "telephone_number": "765-644-1225",
            "fax_number": "765-644-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "ANDREA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200503250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Williams
• Traci Williams
• Tyler J Williams, RN
• Emily A Williamson, MSW,LCSW
• Joseph Greg Williamson, PA
• Lagina Wills, M.D.
• Katherine Wilson, LCSW
• Sarah Wilson, RBT
• Stephanie S Wilson, NP
• Steven Wilson, CNS

• Optometrist in Anderson, IN
• Providers in Anderson, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.