Ennen Eye Center, P.A.
NPI 1003877150ActiveOrganization· Ophthalmology· Fort Smith, AR
Ophthalmology in Fort Smith, Arkansas, registered in NPPES in March 2006. The authorized official on file is Randy M. Ennen, M.D., President. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1003877150 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2006 |
| Last updated in NPPES | Apr 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Optometrist | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (AR); Part B Supplier - Clinic/Group Practice (AR) |
|---|
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