DR. Melissa Marie Enevoldsen, O.D.

NPI #1396092961 in Raytown, Missouri

Provider Information

NPI Number: 1396092961
Entity Type: Individual
Name: DR. Melissa Marie Enevoldsen, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 13, 2012
Last Updated: Nov 10, 2013

Practice Location

Address: 6708 RAYTOWN RD
City: Raytown
State: Missouri
ZIP Code: 64133-5272
Phone: (816) 353-1872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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