Individual provider · NPI-1

Dr. Lester Efianayi, OD

Optometrist, Vision Therapy · Chevy Chase, MD

NPI number1295459865
StatusActive
Last updated in NPPESDec 11, 2024

Details

NPI
1295459865
Entity type
Individual (NPI-1)
Name
Dr. Lester Efianayi
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 28, 2022
Certification date
Dec 11, 2024
Last updated
Dec 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152WV0400X Optometrist, Vision TherapyTA2980MDYes
152W00000X OptometristTA2980MD
152WP0200X Optometrist, PediatricsTA2980MD
152WS0006X Optometrist, Sports VisionTA2980MD

Practice location

6900 Wisconsin Ave Ste 600
Chevy Chase, MD 20815-6100

Phone 301-951-0320

Mailing address

7375 Cabaline Dr Se
Caledonia, MI 49316-8852

Phone 860-324-7381

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