DR. ANWI ETAME OD PROFESSIONAL OPTOMETRIC CORPORATION


Address: 900 S Main St Ste 351, Keller, TX 76248-7024
Phone: 8175279800

DR. ANWI ETAME OD PROFESSIONAL OPTOMETRIC CORPORATION (NPI# 1881236008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881236008
Entity Type Organization
Organization Name DR. ANWI ETAME OD PROFESSIONAL OPTOMETRIC CORPORATION
Other Organization Name KELLER PREMIER EYE CARE
Practice Address 900 S Main St Ste 351
Keller
TX 76248-7024
Mailing Address 2012 Cedar Ridge Dr
Keller
TX 76248-8355
Practice Telephone 8175279800
Practice Fax Number 8179934033
Mailing Telephone 5038099624
Enumeration Date 2019-10-09
Last Update Date 2019-10-19
Authorized Official Name ANWI NGANDO ETAME (O.D./ OPTOMETRIST)
Authorized Official Telephone 5038099624
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Keller Premier Eye Care Doing Business As Name - Organization

Office Location

Street Address 900 S MAIN ST STE 351
City KELLER
State TX
Zip Code 76248-7024

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316556145 Tyler Woodall Counselor 1668 Keller Parkway, Suite 200, Keller, TX 76248 2020-07-28
1396366456 Kelcie Dao Speech-Language Pathologist 630 B Stoneglen Drive, Keller, TX 76248 2020-04-29
1003447384 Alliance Orthotics and Prosthetics, L.L.C. Prosthetic/Orthotic Supplier 101 Bourland Rd Suite A, Keller, TX 76248 2020-01-27
1033759832 Everest Rehabilitation Hospital Keller, LLC Rehabilitation Hospital 955 S. Main St., Keller, TX 76248 2020-01-09
1750934253 Pediatric Dentistry of Keller Pllc Dentist 1627 Keller Parkway, Suite 100, Keller, TX 76248 2019-07-23
1306345293 Jaqui Otto Psychologist 1664 Keller Parkway Ste 102, Keller, TX 76248 2018-02-06
1194223404 Hartman Samuel Ian Watson Chiropractor 1211 S Main St Ste 300h, Keller, TX 76248 2018-02-01
1760900997 Md First Watch Healthcare Pllc Clinic/Center 310 Keller Parkway, Keller, TX 76248 2017-09-08
1588104541 Elias Alharari Nurse Practitioner 651 S Main St Ste 102, Keller, TX 76248 2017-02-24
1730631698 Alliance Counseling and Education Center Social Worker 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 2016-10-26
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093990715 Everyday Angels, LLC Clinic/Center 5349 Sonoma Drive, Keller, TX 76248-9105 2007-12-31
1043335961 Colville Nation Community Health Centers Clinic/Center 11665 South Highway 21, Keller, WA 99140 2007-03-20
1801136155 Advanced Spine Solutions Pa Clinic/Center 651 S Main St, 105, Keller, TX 76248-7038 2013-02-24
1386811586 Rediclinic Us, LLC Clinic/Center 8520 N Beach St, Keller, TX 76248-0918 2008-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417558826 Mercy Clinic Clinic/Center 951 Tristar Dr, Webster, TX 77598-1536 2020-11-03
1477150688 Sun Houston, LLC Clinic/Center 7505 Fannin St Ste 430, Houston, TX 77054-1944 2020-10-01
1295341147 Mo City Apothecary LLC Clinic/Center 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 2020-09-16
1114531167 Action Potential - Sports and Neurological Rehab, Pllc Clinic/Center 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 2020-09-06
1609480755 Galloway Clinic Pllc Clinic/Center 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 2020-09-06
1508470170 Honestar Wound Care Pllc Clinic/Center 7908 Modena Dr, Fort Worth, TX 76126-6144 2020-09-01
1093328981 Caspian Medical Services Clinic/Center 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 2020-08-28
1992318885 Integra Assessments Clinic/Center 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 2020-08-28
1912517426 Med Cure Clinic Clinic/Center 102703 Alief Clodine Rd, Houston, TX 77082 2020-08-10
1538779145 Family Choice Clinic, Inc. Clinic/Center 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 2020-08-07
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Competitor

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City KELLER
Zip Code 76248

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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