Dr Jeffrey Enevoldsen, OD | |
3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 | |
(816) 524-7400 | |
(816) 525-1700 |
Full Name | Dr Jeffrey Enevoldsen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 12 Years |
Location | 3660 Ne Ralph Powell Rd, Lees Summit, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558617993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1915 (Kansas) | Secondary |
152W00000X | Optometrist | 2012017342 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paige Hedgpath Odpc | 5991856460 | 21 |
Provider Name | Custom Vision Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619004280 PECOS PAC ID: 2062470784 Enrollment ID: O20041228000891 |
Provider Name | Paige Hedgpath Odpc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669530887 PECOS PAC ID: 5991856460 Enrollment ID: O20090623000274 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Enevoldsen, OD 3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 Ph: (816) 524-7400 | Dr Jeffrey Enevoldsen, OD 3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 Ph: (816) 524-7400 |
Envision Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 215 Se State Route 291, Lees Summit, MO 64063 Phone: 816-246-7779 Fax: 816-246-7780 | |
Dr. David E Orson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3536 Sw Market St, Lees Summit, MO 64082 Phone: 816-537-0011 Fax: 816-537-0402 | |
Dr. Laura Jean Nennig I, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 221 Nw Mcnary Ct, Lees Summit, MO 64086 Phone: 816-524-8900 | |
Dr. Wynter M Brown, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3410 Sw Market St, Lees Summit, MO 64082 Phone: 816-623-3285 Fax: 816-623-3264 | |
Robert K Hartnett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4405 Ne Courtney Dr, Lees Summit, MO 64064 Phone: 626-644-8443 | |
Eyecare Associates Of Lee's Summit Optometrist Medicare: Medicare Enrolled Practice Location: 221 Nw Mcnary Ct, Lees Summit, MO 64086 Phone: 816-524-8900 Fax: 816-525-2042 | |
Dr. Patricia R Cantrell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Se State Route 291, Lees Summit, MO 64063 Phone: 816-246-7779 Fax: 816-246-7780 |