| NPI | 1881236008 |
|---|---|
| Doing Business As | KELLER PREMIER EYE CARE |
| Entity Type | Organization |
| Authorized Contact | ANWI NGANDO ETAME O.D./ Optometrist 503-809-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-19 |