Search › Missouri › 152W00000X
Jeffrey Enevoldsen, O.D
NPI 1558617993 · on the registry since 2012
Practice
- Address
- 3660 Ne Ralph Powell Rd
Lees Summit, MO 64064 - Phone
- (816) 524-7400
- Fax
- (816) 525-1700
- Organisation at this address
- Custom Vision, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- KS, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri