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Organization
KELLER OPTOMETRIC, INC.
Active
Organization
KELLER OPTOMETRIC, INC.
Active
Other names
Cornerstone Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ROBERT KELLER O.D. (PRESIDENT)
(760) 341-7373
Entity
Organization
Contact information
Practice address
36921 COOK ST, SUITE 104, PALM DESERT, CA 92211-6070
(760) 341-7373
(760) 341-8383
Mailing address
36921 COOK ST, SUITE 104, PALM DESERT, CA 92211-6070
(760) 341-7373
(760) 341-8383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT10085T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0100850
—
CA
Enumeration date
02/12/2007
Last updated
09/18/2015
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