1. Home
  2. Directory
  3. Texas
  4. Keller
  5. Clinic Center
  6. NPI Profile

KELLER PREMIER EYE CARE
NPI 1881236008
Clinic/Center in Keller, TX

Active since October 09, 2019
900 S MAIN ST STE 351, KELLER, TX 76248(817) 527-9800(817) 993-4033 Get Directions Write a Review

NPPES record last updated: October 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2019, Oct 9, 2019 (2 updates tracked since 2019).

About Keller Premier Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLER PREMIER EYE CARE (NPI 1881236008) is a healthcare organization registered as a clinic/center in Keller, Texas and active in the NPI registry since October 2019. The organization lists Anwi Ngando Etame, O.d./ Optometrist, as its authorized official.

NPPES Registry Identity

NPI1881236008
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDR. ANWI ETAME OD PROFESSIONAL OPTOMETRIC CORPORATION
Location Address900 S MAIN ST STE 351Keller, TX 76248-7024
Mailing Address2012 Cedar Ridge DrKeller, TX 76248-8355 · (503) 809-9624
Phone(817) 527-9800
Fax(817) 993-4033
Organization SubpartNo
Authorized OfficialAnwi Ngando EtameO.d./ Optometrist · (503) 809-9624
Enumeration DateOctober 9, 2019
Last NPPES UpdateOctober 19, 20192 updates tracked since enumeration
✔ NPI 1881236008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
900 S MAIN ST STE 351, Keller, TX 76248
Open in Google Maps ↗

Other Names 1

Doing Business AsKeller Premier Eye Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keller Premier Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Keller Premier Eye Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anwi Etame, OD
Optometry
NPI 1831399591
4731 45TH STREET CT
Rock Island, IL 61201
(309) 793-2020
✔ PECOS✔ Accepts Medicare695 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Anwi Etame Od Professional Optometric Corporation's NPI number?

The NPI number for Dr. Anwi Etame Od Professional Optometric Corporation is 1881236008. It was assigned to this organization in the NPPES registry on October 9, 2019. The provider is doing business as Keller Premier Eye Care.

Where is Dr. Anwi Etame Od Professional Optometric Corporation located?

Dr. Anwi Etame Od Professional Optometric Corporation is located at 900 S Main St Ste 351, Keller, TX 76248. The listed phone number is (817) 527-9800.

What is Dr. Anwi Etame Od Professional Optometric Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Dr. Anwi Etame Od Professional Optometric Corporation enrolled in Medicare?

Yes. Dr. Anwi Etame Od Professional Optometric Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Anwi Etame Od Professional Optometric Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr. Anwi Etame Od Professional Optometric Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr. Anwi Etame Od Professional Optometric Corporation accept?

Health plans from Oscar Insurance Company list Dr. Anwi Etame Od Professional Optometric Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr. Anwi Etame Od Professional Optometric Corporation was last updated on October 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.