ENNEN EYE CENTER
NPI 1003877150
Ophthalmology in Fort Smith, AR
About Ennen Eye Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENNEN EYE CENTER (NPI 1003877150) is a healthcare organization registered as an ophthalmology in Fort Smith, Arkansas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Randy M. Ennen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ennen Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Ennen Eye Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D2023634
Ennen Eye Center · Fort Smith, ARFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ennen Eye Center, P.A.'s NPI number?
The NPI number for Ennen Eye Center, P.A. is 1003877150. It was assigned to this organization in the NPPES registry on March 29, 2006. The provider is doing business as Ennen Eye Center.
Where is Ennen Eye Center, P.A. located?
Ennen Eye Center, P.A. is located at 3312 S 70th St, Fort Smith, AR 72903. The listed phone number is (479) 452-7800.
What is Ennen Eye Center, P.A.'s specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Ennen Eye Center, P.A. enrolled in Medicare?
Yes. Ennen Eye Center, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ennen Eye Center, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Ennen Eye Center, P.A., in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ennen Eye Center, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2023634) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ennen Eye Center, P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Sunflower Health Plan and Ambetter from Superior HealthPlan and 7 other insurers list Ennen Eye Center, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ennen Eye Center, P.A. was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ennen Eye Center · NPI 1003877150
Ophthalmology organization in Fort Smith, Arkansas. Organization record, active in the CMS NPPES registry since March 29, 2006.
## Identity
- **NPI:** 1003877150 (Entity type: Organization)
- **Enumerated:** March 29, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Legal business name:** Ennen Eye Center, P.a.
- **Organization subpart:** No
- **Authorized official:** Randy Ennen, PRESIDENT
## Practice location
- **Address:** 3312 S 70TH ST, Fort Smith, AR 72903-5052
- **Phone:** (479) 452-7800 · **Fax:** (479) 452-9486
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (2), Optometry (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2012
- **Other identifiers:** Medicaid 100177380B (OK); Medicare NSC 4351100001 (AR); Medicare ID-Type Unspecified 5C372; and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003877150) · Data from the CMS NPPES public registry.