Organization
DR. ANWI ETAME OD PROFESSIONAL OPTOMETRIC CORPORATION
Active
Other names
Keller Premier Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANWI NGANDO ETAME O.D. (O.D./ OPTOMETRIST)
(503) 809-9624
Entity
Organization
Contact information
Practice address
900 S MAIN ST STE 351, KELLER, TX 76248-7024
(817) 527-9800
(817) 993-4033
Mailing address
2012 CEDAR RIDGE DR, KELLER, TX 76248-8355
(503) 809-9624
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/19/2019
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