DR. Jeremy Evan Ensor, O.D.

NPI #1780694125 in Lafayette, California

Provider Information

NPI Number: 1780694125
Entity Type: Individual
Name: DR. Jeremy Evan Ensor, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 8, 2006
Last Updated: May 17, 2008

Practice Location

Address: 284 LAFAYETTE CIR
City: Lafayette
State: California
ZIP Code: 94549-4379
Phone: (925) 284-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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