Dr. Randy M Ennen is a Fort Smith, Arkansas based male Ophthalmologist with 40 years of experience in Ophthalmology. He completed his graduation from Washington University School Of Medicine in 1984. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Randy M Ennen is N7403 for Ophthalmology in Arkansas. Dr. Randy M Ennen is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Randy M Ennen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Experience:
40+ years
Medical School Attended:
Washington University School Of Medicine
Graduation Year:
1984
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3312 S 70th St, Fort Smith, Arkansas, 72903-5052
Phone:
479-452-7800
Fax:
479-452-9486
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8022084292
Enrollment ID:
I20100506000639
NPI Number:
1124089222
NPI Enumeration Date:
29 Mar, 2006
NPI Last Update On:
18 Mar, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Randy M Ennen are as mentioned below.
License Number
Specialization
State
Status
N7403
Ophthalmology
Arkansas
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Randy M Ennen has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ennen Eye Center, P.a. (5395885644)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Randy M Ennen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
114450001
Medicaid
Arkansas
100177380A
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3312 S 70th St, Fort Smith, Arkansas
Zip:
72903-5052
Phone Number:
479-452-7800
Fax Number:
479-452-9486
Patients can reach Dr. Randy M Ennen at 3312 S 70th St, Fort Smith, Arkansas or can call to book an appointment on 479-452-7800. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.