Organization
DR. ANWI ETAME OD PROFESSIONAL OPTOMETRIC CORPORATION
Active
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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