Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeffrey Enevoldsen, OD

Individual provider Optometrist · NPI 1558617993

Dr. Jeffrey Enevoldsen, OD is an Optometry in Lees Summit, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2012, 14 years ago. Practices with Paige Hedgpath Odpc, a 26-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
14
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
KS, MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3660 NE Ralph Powell Rd
Lees Summit, MO 64064-2357
Phone: (816) 524-7400
Fax: (816) 525-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2012017342 (MO)
Optometrist Taxonomy 152W00000X · Licence 1915 (KS)

Record details

NPI number1558617993
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 2, 2012
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020
Mailing address3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2012 (14 years in practice)
Group practice Paige Hedgpath Odpc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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