DR. Jeffrey Enevoldsen, O.D.

NPI #1558617993 in Lees Summit, Missouri

Provider Information

NPI Number: 1558617993
Entity Type: Individual
Name: DR. Jeffrey Enevoldsen, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 2, 2012
Last Updated: Jan 9, 2020

Practice Location

Address: 3660 NE RALPH POWELL RD
City: Lees Summit
State: Missouri
ZIP Code: 64064-2357
Phone: (816) 524-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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